Individual provider Active NPI

Lora May Vaverka, NP-C

  • Family Nurse Practitioner
  • Enid, OK
National Provider Identifier
1124036744
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0051279 Issued in OK
Practice address
330 S 5TH St Ste 500
Enid, OK 73701-5825
Phone
(580) 249-5504
Fax
(580) 234-5933
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 R0051279 OK Primary

Addresses

Primary practice location

330 S 5TH St Ste 500
Enid, OK 73701-5825

Mailing address

11100 Hefner Pointe Dr Ste a
Oklahoma City, OK 73120-5049
Phone (405) 752-0871

Other identifiers 1

IdentifierTypeStateIssuer
100114140AMedicaidOK

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
I20101029000633 OK Practitioner - Nurse Practitioner 3476747858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Cancer and Blood Specialists LLCGroup PAC ID 4981874849, 12 clinicians

Practice addresses (Care Compare)

100 N 30TH St
Clinton, OK 73601-3117
Phone (405) 752-0871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.91 of 100Reported as group
Quality
63.29
Promoting interoperability
0
Improvement activities
20
Cost
71.41

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
60.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0051279OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cancer and Blood Specialists, LLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

305 S 5th St
Ste A
Enid, OK 73701

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

330 S 5th St
Ste 500
Enid, OK 73701
Phone (580) 249-5504

11100 Hefner Pointe Dr
Ste A
Oklahoma City, OK 73120
Phone (405) 752-0871

Interoperability endpoints

  • Direct secure messaging: lora.vaverka@ipmcentral.cernerdirect.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.

Hospital & facility affiliations 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1124036744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 HEFNER POINTE DR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205049",
            "telephone_number": "405-752-0871",
            "fax_number": "405-755-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST STE 500",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-249-5504",
            "fax_number": "580-234-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVERKA",
        "first_name": "LORA",
        "middle_name": "MAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0051279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.