Individual provider Active NPI

Angie Osborn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1104522697
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
211056 Issued in OK
Practice address
1501 S Ranchwood Blvd Ste 203
Yukon, OK 73099-2758
Phone
(405) 914-6634
Fax
(405) 914-6693
NPI assigned
Feb 6, 2023
Reactivated
Nov 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 211056 OK Primary

Addresses

Primary practice location

1501 S Ranchwood Blvd Ste 203
Yukon, OK 73099-2758

Mailing address

1501 S Ranchwood Blvd Ste 203
Yukon, OK 73099-2758
Phone (405) 914-6634

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
I20230505002548 OK Practitioner - Nurse Practitioner 0244695740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uym Clinic PC 2 clinicians

Practice addresses (Care Compare)

1501 S Ranchwood Blvd
Suite 203
Yukon, OK 73099-2758
Phone 4059146634100

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
84.08
Promoting interoperability
98
Improvement activities
40
Cost
65.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211056OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uym Clinic PC Psychiatric/Mental Health CurrentSince Dec 7, 2024 Accepting new patients

Locations

1501 S Ranchwood Blvd
#203
Yukon, OK 73099
Phone (405) 914-6634

Interoperability endpoints

  • Direct secure messaging: angie.osborn@uymcpc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1104522697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S RANCHWOOD BLVD STE 203",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992758",
            "telephone_number": "405-914-6634",
            "fax_number": "405-914-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S RANCHWOOD BLVD STE 203",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992758",
            "telephone_number": "405-914-6634",
            "fax_number": "405-914-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "ANGIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "deactivation_date": "2024-11-19",
        "reactivation_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "211056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.