Individual provider Active NPI

Amanda Lynne Doane, FNP-C

  • Family Nurse Practitioner
  • Okmulgee, OK
National Provider Identifier
1124701438
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214724 Issued in OK
Practice address
1020 E 8TH St
Okmulgee, OK 74447
Phone
(918) 756-3114
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 214724 OK Primary

Addresses

Primary practice location

1020 E 8TH St
Okmulgee, OK 74447

Mailing address

7233 E 154TH St S
Bixby, OK 74008-4375
Phone (620) 515-0037

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
I20240227002863 OK Practitioner - Nurse Practitioner 0840635009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medrite Health LLCGroup PAC ID 9436417748, 4 clinicians

Practice addresses (Care Compare)

1020 E 8TH St
Okmulgee, OK 74447-4726
Phone (918) 756-3114

Hospital & facility affiliations

  • Mays Home Health of NC Ok Home health agency, Okmulgee, OK, CCN 377273
  • Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medrite Health LLC CurrentSince Feb 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients
Medrite Health LLC PastSince Jan 26, 2025 Accepting new patients

Organizations & group practices 3

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 3

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1124701438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E 154TH ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084375",
            "telephone_number": "620-515-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "214724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.