NPIMap

Individual provider Active NPI

Kandy Brown, APRN, NP-C

  • Family Nurse Practitioner
  • Midwest City, OK
National Provider Identifier
1104365675
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
96473 Issued in OK
Practice address
9230 E Reno Ave Ste B
Midwest City, OK 73130-3337
Phone
(405) 737-4900
Fax
(405) 737-3606
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 96473 OK Primary

Addresses

Primary practice location

9230 E Reno Ave Ste B
Midwest City, OK 73130-3337

Mailing address

9230 E Reno Ave Ste B
Midwest City, OK 73130-3337
Phone (405) 737-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524001534 OK Practitioner - Nurse Practitioner 3971870841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Nephrology Group PLLCGroup PAC ID 7214210624, 5 clinicians

Practice addresses (Care Compare)

9230 E Reno Ave
Suite B
Midwest City, OK 73130-3337
Phone (405) 737-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.62
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Group PLLC CurrentSince Mar 27, 2017 Accepting new patients

Locations

9230 E Reno Ave
Ste B
Oklahoma City, OK 73130
Phone (405) 737-4900

Organizations & group practices 1

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.

Hospital & facility affiliations 12

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": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1104365675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 E RENO AVE STE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303337",
            "telephone_number": "405-737-4900",
            "fax_number": "405-737-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 E RENO AVE STE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303337",
            "telephone_number": "405-737-4900",
            "fax_number": "405-737-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KANDY",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "96473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.