Individual provider Active NPI

Amie Kathryn Framel, ARNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1083741516
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
77185 Issued in OK
Practice address
11515 E 31St St
Tulsa, OK 74146-1908
Phone
(918) 392-3944
Fax
(918) 392-3949
NPI assigned
Feb 28, 2007
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 77185 OK Primary

Addresses

Primary practice location

11515 E 31St St
Tulsa, OK 74146-1908

Mailing address

11515 E 31St St
Tulsa, OK 74146-1908
Phone (918) 392-3944

Other identifiers 1

IdentifierTypeStateIssuer
200068630AMedicaidOK

Other names 1

  • Amie Otterstrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130522000421 OK Practitioner - Nurse Practitioner 4183879521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
77185OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Nurse Practitioner CurrentSince Nov 28, 2016 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Nov 28, 2016 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Ahs Henryetta Hospital LLC Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

11515 E 31st St
Tulsa, OK 74146
Phone (918) 392-3944

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: aotterstrom106893@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1083741516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461908",
            "telephone_number": "918-392-3944",
            "fax_number": "918-392-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461908",
            "telephone_number": "918-392-3944",
            "fax_number": "918-392-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAMEL",
        "first_name": "AMIE",
        "middle_name": "KATHRYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "77185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "OTTERSTROM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.