Active NPI
Autumn R Hembree, NP
- Family Medicine Physician
- Poteau, OK
National Provider Identifier
1093229395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R099588
- Practice address
- 210 W Robert St
Poteau, OK 74953-2942 - Phone
- (918) 649-0069
- Fax
- (918) 649-0067
- NPI assigned
- Nov 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R099588 | OK | Primary |
Addresses
Primary practice location
210 W Robert St
Poteau, OK 74953-2942
Mailing address
905 Coggins Ave
Poteau, OK 74953-0000
Phone (817) 408-9770
Other practice location 1
1013 Dewey Ave
Poteau, OK 74953-4409
Phone (918) 647-2929
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180215002264 | OK | Practitioner - Nurse Practitioner | 8729345129 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 W Robert St
Poteau, OK 74953-2942
Phone (918) 649-0069
Hospital & facility affiliations
- Traditions Health of Idabel
- Eastern Oklahoma Medical Center
- Mercy Hospital Fort Smith
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R099588 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Cobb Aprn PLLC | Current | Accepting new patients | |
| T. Jarel Brown Aprn CNP PLLC | Current | Accepting new patients | |
| Meygan Mode Aprn-CNP PLLC | Current | Accepting new patients | |
| Autumn Hembree Aprn-CNP PLLC | Current | Accepting new patients | |
| Tracy Morgan Aprn-CNP PLLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Leflore County Hospital Authority | Past | Accepting new patients |
Locations
210 W Robert St
Poteau, OK 74953
Phone (918) 649-0069
1013 Dewey Ave
Poteau, OK 74953
Phone (918) 647-2929
Interoperability endpoints
- autumnhembree@tjbap-ok.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Poteau, OK
- NPI 1699008391
-
- Family Nurse Practitioner
- Poteau, OK
- NPI 1366250821
-
- Family Nurse Practitioner
- Poteau, OK
- NPI 1144871047
-
- Critical Access Hospital
- Poteau, OK
- NPI 1396767158
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idabel, OK
- NPI 1003552894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1093229395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 COGGINS AVE",
"city": "POTEAU",
"state": "OK",
"postal_code": "749530000",
"telephone_number": "817-408-9770",
"fax_number": "918-649-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W ROBERT ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532942",
"telephone_number": "918-649-0069",
"fax_number": "918-649-0067"
}
],
"practiceLocations": [
{
"address_1": "1013 Dewey Ave",
"address_purpose": "LOCATION",
"city": "Poteau",
"state": "OK",
"postal_code": "749534409",
"country_code": "US",
"telephone_number": "918-647-2929",
"fax_number": "918-647-2288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEMBREE",
"first_name": "AUTUMN",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "R099588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.