NPIMap

Individual provider Active NPI

Krystal Marie Vonfeldt, DO

  • Family Medicine Physician
  • Duncan, OK
National Provider Identifier
1114294741
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5284 Issued in OK
Practice address
2120 W Elk Ave
Duncan, OK 73533-1569
Phone
(580) 251-6822
NPI assigned
Nov 28, 2011
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5284 OK Primary

Addresses

Primary practice location

2120 W Elk Ave
Duncan, OK 73533-1569

Mailing address

1334 N Harville Rd
Duncan, OK 73533-1514
Phone (580) 255-8564

Other identifiers 1

IdentifierTypeStateIssuer
200443050AMedicaidOK

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
I20130425000622 OK Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7113163726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

9170 US Hwy 70
Waurika, OK 73573-5069
Phone (580) 228-2344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5284OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC Duncan Inc CurrentSince Oct 28, 2014 Accepting new patients
Duncan Regional Hospital, Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Duncan Regional Hospital, Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Duncan Regional Hospital Inc Past Accepting new patients

Locations

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

2340 W Elk Ave
Rm 2
Duncan, OK 73533
Phone (580) 251-6822

2340 W Elk Ave
Rm 6
Duncan, OK 73533
Phone (580) 251-6822

2340 W Elk Ave
Rm 8
Duncan, OK 73533
Phone (580) 251-6822

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

9170 US Highway 70
Waurika, OK 73573
Phone (580) 228-3669

Interoperability endpoints

  • Direct secure messaging: krystal.vonfeldt@direct.drhhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chisholm Trail HospiceDuncan, OK, CCN 371553 Hospice W-2 Managing Employee Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1114294741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-255-8564",
            "fax_number": "580-255-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331569",
            "telephone_number": "580-251-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONFELDT",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200443050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.