Individual provider Active NPI

Deanna Erin Prufert, APRN, FNP-C

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1104482025
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
109433 Issued in OK
Practice address
901 N Porter Ave
Norman, OK 73071-6404
Phone
(405) 307-1000
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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 109433 OK Primary

Addresses

Primary practice location

901 N Porter Ave
Norman, OK 73071-6404

Mailing address

313 Cypress Dr
Oklahoma City, OK 73170-1123
Phone (405) 628-4078

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
I20190906002030 OK Practitioner - Nurse Practitioner 1951630540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 N Shartel Ave
Suite 606
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109433OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Nursing Center of Oklahoma City, LLC Family Current Accepting new patients
True North Health Navigation LLC CurrentSince Aug 1, 2021 Accepting new patients
Community Nursing Center of Oklahoma City, LLC CurrentSince Sep 27, 2022 Accepting new patients
Community Nursing Center of Okc, LLC Family CurrentSince Sep 27, 2022 Accepting new patients
True North Health Navigation LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

329 White St
Norman, OK 73069
Phone (405) 848-0026

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103
Phone (405) 367-7824

1211 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 235-8008

1822 E 15th St
Tulsa, OK 74104
Phone (405) 848-0026

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1104482025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CYPRESS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731701123",
            "telephone_number": "405-628-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-307-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUFERT",
        "first_name": "DEANNA",
        "middle_name": "ERIN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "109433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.