Active NPI
Charlene D Hoover, ARNP
- Family Nurse Practitioner
- Catoosa, OK
National Provider Identifier
1104092964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0074731
- Practice address
- 5232 N Highway 167
Catoosa, OK 74015-3434 - Phone
- (918) 272-0033
- Fax
- (918) 272-0039
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | R0074731 | OK | Primary |
Addresses
Primary practice location
5232 N Highway 167
Catoosa, OK 74015-3434
Mailing address
5232 N Highway 167
Catoosa, OK 74015-3434
Phone (918) 272-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200416390B | Medicaid | OK |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
303 E Taft Ave
3 Axis Healthcare Sapulpa
Sapulpa, OK 74066-5651
Phone (918) 224-2222
6316 E 102ND St
Suite 100
Tulsa, OK 74137-7061
Phone (918) 600-2233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0074731 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essentialmd, PLLC | Current | Accepting new patients | |
| Oklahoma Pain and Wellness Center, PLC | Past | Accepting new patients | |
| Ntco LLC | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Feet Plus Solutions Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22562/brand/1/csg/1/fhir/r4
- charlene.hoover.1@22562.direct.athenahealth.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Tulsa, OK
- NPI 1184222705
-
- Multi-Specialty Clinic/Center
- Bixby, OK
- NPI 1538453923
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1356609739
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1376862771
-
- Internal Medicine Physician
- Bentonville, AR
- NPI 1376841171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1104092964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5232 N HIGHWAY 167",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740153434",
"telephone_number": "918-272-0033",
"fax_number": "918-272-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5232 N HIGHWAY 167",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740153434",
"telephone_number": "918-272-0033",
"fax_number": "918-272-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "CHARLENE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0074731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200416390B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Catoosa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.