Individual provider Active NPI

Amy Calhoun-Vasko, APN,CNM

  • Women's Health Nurse Practitioner
  • Shattuck, OK
National Provider Identifier
1144628298
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
212295 Issued in OK
Practice address
905 S Main St
Shattuck, OK 73858-9208
Phone
(734) 552-1595
NPI assigned
Dec 5, 2014
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 212295 OK Primary
Advanced Practice Midwife 367A00000X 667 NC
Advanced Practice Midwife 367A00000X 4704260721
Advanced Practice Midwife 367A00000X 212295 OK

Addresses

Primary practice location

905 S Main St
Shattuck, OK 73858-9208

Mailing address

PO Box 16131
Belfast, ME 04915-4056
Phone (919) 322-0173

Other practice location 1

2020 Ogden Avenue
Suite 225
Aurora, IL 60504
Phone (630) 978-4800

Other practice location 2

245 Charlois Blvd Ste C
Winston Salem, NC 27103-1507
Phone (336) 718-6280

Other practice location 3

131 Providence Rd
Charlotte, NC 28207-1206
Phone (704) 750-5535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acalhounvasko745907@direct.novanthealth.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706003193 OK Practitioner - Certified Nurse Midwife (CNM) 9436474954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial Hospital, IncGroup PAC ID 2567482367, 29 clinicians

Practice addresses (Care Compare)

1000 15TH St
Woodward, OK 73801-3008
Phone (580) 571-3160

905 S Main
Shattuck, OK 73858-9205

905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
667NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weatherford Hospital Authority CurrentSince Nov 5, 2025 Accepting new patients
Weatherford Hospital Authority CurrentSince Nov 5, 2025 Accepting new patients
Newman Memorial Hospital, Inc. Past Accepting new patients
Radadvantage a Professional Corporation Past Accepting new patients
Newman Memorial Hospital, Inc Past Accepting new patients

Locations

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • Direct secure messaging: acalhounvasko453321@direct-ehr-ssmhc.com
  • Direct secure messaging: acalhounvasko745907@direct.novanthealth.org

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": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1144628298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16131",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154056",
            "telephone_number": "919-322-0173",
            "fax_number": "919-977-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S MAIN ST",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738589208",
            "telephone_number": "734-552-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Ogden Avenue",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "60504",
            "country_code": "US",
            "telephone_number": "630-978-4800",
            "fax_number": "630-978-6791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Charlois Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031507",
            "country_code": "US",
            "telephone_number": "336-718-6280",
            "fax_number": "336-718-6289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071206",
            "country_code": "US",
            "telephone_number": "704-750-5535",
            "fax_number": "888-335-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALHOUN-VASKO",
        "first_name": "AMY",
        "credential": "APN,CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "212295",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "667",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": "4704260721",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OK",
            "license": "212295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acalhounvasko745907@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2020 Ogden Avenue",
            "address_2": "Suite 225",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shattuck, OK

Sources for this page

Verify at the official NPI Registry.