Stephanie Michelle Hammons, APRN, FNP

Key facts

NPI: 1124648746
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 85614 (OK)
Practice address: 302 E Allen Ave
Davis, OK 73030-3326
Phone: (580) 513-3504
NPI assigned: Apr 23, 2020
Sex: Female
Sole proprietor: Yes

Organizations & group practices 4

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.

Elmbrook Clinical Services LLC Gerontology Nurse Practitioner · Ardmore, OK · NPI 1649951211

Medicare reassignment Care Compare group NPD FAMILY · OK
Hammons Hometown Health Clinic LLC Family Nurse Practitioner · Wilson, OK · NPI 1154152221

Medicare reassignment NPD Authorized official FAMILY · OK
Icare Center LLC Urgent Care Clinic/Center · Harrah, OK · NPI 1881190833

Medicare reassignment NPD OK
Ellis Health Center Inc Chiropractor · Lone Grove, OK · NPI 1679799308

NPD (past)

Hospital & facility affiliations 1

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

Arbuckle Memorial Hospital Critical Access Hospital · Sulphur, OK · NPI 1700869492

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Elmbrook Clinical Services, LLC (5 clinicians)

Practice addresses (Care Compare)

1908 12TH Ave NW
Suite E
Ardmore, OK 73401-1255
Phone 5802263055209

Hospital & facility affiliations

Arbuckle Memorial Hospital Authority Hospital · Sulphur, OK · CCN 371328

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OK
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20201008000430	OK	Practitioner - Nurse Practitioner	6103245386	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Elmbrook Clinical Services LLC	Family	Current since Feb 10, 2024	Accepting new patients
Icare Center LLC		Current since Jul 1, 2021	Accepting new patients
Hammons Hometown Health Clinic LLC	Family	Current since Jul 15, 2024	Accepting new patients
Ellis Health Center Inc		Past since Aug 1, 2024	Accepting new patients

Locations

1908 12th Ave NW
Ste E
Ardmore, OK 73401
Phone (580) 226-3055

310 Brookside Dr
Madill, OK 73446
Phone (580) 795-2100

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

1415 W 15th St
Sulphur, OK 73086
Phone (580) 622-2030

122 Mulberry Ln
Wilson, OK 73463
Phone (580) 264-0844

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	85614	OK	Yes

Addresses

Primary practice location

302 E Allen Ave
Davis, OK 73030-3326

Mailing address

PO Box 173
Davis, OK 73030-0173
Phone (580) 513-3504

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2020.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1124648746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730300173",
            "telephone_number": "580-513-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E ALLEN AVE",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730303326",
            "telephone_number": "580-513-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "85614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, OK

All providers in Davis, OK · Family Nurse Practitioner in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.