Individual provider Active NPI

Candy Sue Williams, APRN, CNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1124483482
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08191246 Issued in OK
Practice address
6465 S Yale Ave Ste 1002
Tulsa, OK 74136-7802
Phone
(918) 438-7035
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08191246 OK Primary
Registered Nurse 163W00000X 100656 OK

Addresses

Primary practice location

6465 S Yale Ave Ste 1002
Tulsa, OK 74136-7802

Mailing address

6465 S Yale Ave Ste 1002
Tulsa, OK 74136-7802
Phone (918) 438-7035

Other practice location 1

405 E Excelsior Ave
Vinita, OK 74301-4226
Phone (918) 256-6476

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
I20200122000054 OK Practitioner - Nurse Practitioner 8224463294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult Gastroenterology Associates IncGroup PAC ID 0840223921, 15 clinicians

Practice addresses (Care Compare)

4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 438-7050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
75.14
Promoting interoperability
98
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100656OKMDRegistered Nurse
F08191246OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Gastroenterology Associates Inc CurrentSince Feb 1, 2020 Accepting new patients

Locations

4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979

333 S 38th St
Ste H
Muskogee, OK 74401
Phone (918) 681-4291

6465 S Yale Ave
Ste 1002
Tulsa, OK 74136
Phone (918) 481-4700

4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050

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 9

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1124483482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 1002",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367802",
            "telephone_number": "918-438-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 1002",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367802",
            "telephone_number": "918-438-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 E Excelsior Ave",
            "address_purpose": "LOCATION",
            "city": "Vinita",
            "state": "OK",
            "postal_code": "743014226",
            "country_code": "US",
            "telephone_number": "918-256-6476",
            "fax_number": "918-256-3628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CANDY",
        "middle_name": "SUE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F08191246",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "100656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.