Individual provider Active NPI

Amanda Oblander, APRN

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1114330099
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0093802 Issued in OK
Practice address
520 S Mustang Rd
Yukon, OK 73099-6737
Phone
(405) 936-5910
Fax
(405) 577-2605
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 R0093802 OK Primary

Addresses

Primary practice location

520 S Mustang Rd
Yukon, OK 73099-6737

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 419-8465

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
I20140827001343 OK Practitioner - Nurse Practitioner 3971721309 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Health Services LLCGroup PAC ID 7214314111, 15 clinicians

Practice addresses (Care Compare)

6516 N Olie Ave
Suite G
Oklahoma City, OK 73116-7399
Phone (405) 608-8060

Hospital & facility affiliations

  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0093802OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trail Creek Wellness PC CurrentSince Nov 1, 2018 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 21, 2014 Accepting new patients
The Physicians Group LLC CurrentSince Jul 8, 2019 Accepting new patients
Heritage Health Services LLC CurrentSince Apr 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Saints Medical Group, LLC Past Accepting new patients

Locations

1001 Hospital Cir
Kingfisher, OK 73750
Phone (405) 368-5460

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060

7336 N Classen Blvd
Ste 100
Oklahoma City, OK 73116
Phone (405) 608-8060

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

10001 S Western Ave
Ste 202
Oklahoma City, OK 73139
Phone (405) 608-8060

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

501 SW 149th St
Ste A
Oklahoma City, OK 73170

520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653

520 S Mustang Rd
Ste S
Yukon, OK 73099
Phone (405) 577-2514

4400 Grant Blvd
Ste 103
Yukon, OK 73099
Phone (405) 467-5340

Interoperability endpoints

  • Direct secure messaging: amandaoblander@okss.allscriptsdirect.net

Organizations & group practices 6

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 5

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1114330099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-419-8465",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996737",
            "telephone_number": "405-936-5910",
            "fax_number": "405-577-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLANDER",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0093802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.