Individual provider Active NPI

Mary Elizabeth Wilkins, APRN-BC

  • Family Nurse Practitioner
  • Meeker, OK
National Provider Identifier
1124574066
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89711 Issued in OK
Practice address
102 W Carl Hubbell Blvd
Meeker, OK 74855
Phone
(405) 279-4281
Fax
(405) 279-4285
NPI assigned
Aug 31, 2016
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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 89711 OK Primary

Addresses

Primary practice location

102 W Carl Hubbell Blvd
Meeker, OK 74855

Mailing address

102 W Carl Hubbell Blvd
Meeker, OK 74855
Phone (405) 279-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170109001988 OK Practitioner - Nurse Practitioner 1951682855 Reassigns benefits to 4 organizations
I20180207002926 KS Practitioner - Nurse Practitioner 1951682855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prague Healthcare AuthorityGroup PAC ID 8123435187, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

1322 Klabzuba Ave
Prague, OK 74864-4900
Phone (405) 567-4922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89711OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc CurrentSince Nov 28, 2020 Accepting new patients
Kiowa District Hospital CurrentSince Feb 5, 2018 Accepting new patients
Prague Healthcare Authority CurrentSince Feb 2, 2022 Accepting new patients
Prague Healthcare Authority CurrentSince Feb 2, 2022 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Nov 28, 2020 Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

1002 S 4th St
Kiowa, KS 67070
Phone (620) 825-4121

102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1124574066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W CARL HUBBELL BLVD",
            "city": "MEEKER",
            "state": "OK",
            "postal_code": "74855",
            "telephone_number": "405-279-4281",
            "fax_number": "405-279-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W CARL HUBBELL BLVD",
            "city": "MEEKER",
            "state": "OK",
            "postal_code": "74855",
            "telephone_number": "405-279-4281",
            "fax_number": "405-279-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meeker, OK

Sources for this page

Verify at the official NPI Registry.