Individual provider Active NPI

Susan George, APRN

  • Family Nurse Practitioner
  • Shawnee, OK
National Provider Identifier
1144761073
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86814 Issued in OK
Practice address
2029 Gordon Cooper Dr
Shawnee, OK 74801-9005
Phone
(405) 561-7808
NPI assigned
Mar 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 86814 OK Primary

Addresses

Primary practice location

2029 Gordon Cooper Dr
Shawnee, OK 74801-9005

Mailing address

5625 NW 130TH St
Oklahoma City, OK 73142-6085
Phone (405) 349-8188

Other practice location 1

5625 NW 130th St
Oklahoma City, OK 73142-6085
Phone (405) 349-8188

Other practice location 2

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

Other practice location 3

2029 Gordon Cooper Dr
Shawnee, OK 74801-9005
Phone (405) 878-5850

Other practice location 4

15702 E Highway 9
Norman, OK 73026
Phone (405) 447-0477

Other practice location 5

201 N Shartel Ave
Oklahoma City, OK 73102-2227
Phone (405) 713-1000 ext. 7311

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
I20190118001647 OK Practitioner - Nurse Practitioner 0648516229 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

2029 Gordon Cooper Dr
Shawnee, OK 74801-9005
Phone (405) 878-5850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86814OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ebenezertelehealth LLC Family Current Accepting new patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Nov 20, 2018 Accepting new patients

Locations

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

15702 E State Highway 9
Norman, OK 73026
Phone (405) 447-0300

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1144761073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 NW 130TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731426085",
            "telephone_number": "405-349-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019005",
            "telephone_number": "405-561-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5625 NW 130th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731426085",
            "country_code": "US",
            "telephone_number": "405-349-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15951 Little Axe Dr",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730269088",
            "country_code": "US",
            "telephone_number": "405-447-0300",
            "fax_number": "405-701-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 Gordon Cooper Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748019005",
            "country_code": "US",
            "telephone_number": "405-878-5850",
            "fax_number": "405-701-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15702 E Highway 9",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73026",
            "country_code": "US",
            "telephone_number": "405-447-0477",
            "fax_number": "405-701-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Shartel Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731022227",
            "country_code": "US",
            "telephone_number": "405-713-1000 x7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "86814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.