Individual provider Active NPI

Terri Lynn Oberst, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1104642362
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220529 Issued in OK
Practice address
4021 S Walker Ave Ste 201
Oklahoma City, OK 73109-6977
Phone
(405) 632-6688
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 220529 OK
Family Nurse Practitioner 363LF0000X 220529 OK Primary

Addresses

Primary practice location

4021 S Walker Ave Ste 201
Oklahoma City, OK 73109-6977

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

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
I20250304003227 OK Practitioner - Nurse Practitioner 1153842364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Variety Care, Inc.Group PAC ID 1557260007, shared by 23 NPIs, 101 clinicians
NR Norman LLCGroup PAC ID 3072988898, 3 clinicians

Practice addresses (Care Compare)

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

4021 S Walker Ave
Suite 201
Oklahoma City, OK 73109-6972
Phone (405) 632-6688

640 24TH Ave SW
Norman, OK 73069-3913
Phone (405) 295-7833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220529OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NR Norman LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

640 24th Ave SW
Norman, OK 73069
Phone (405) 295-7833

4019 N Flood Ave
Norman, OK 73069
Phone (405) 253-5076

3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1104642362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 S WALKER AVE STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731096977",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERST",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "220529",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.