Active NPI
Monica Ashley Wilder
- Family Nurse Practitioner
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 117508
- Practice address
- 2101 N Van Buren St
Enid, OK 73703-2524 - Phone
- (580) 297-9993
- NPI assigned
- Aug 22, 2019
- Last updated
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-79398-032 | KS | |
| Family Nurse Practitioner | 363LF0000X | 117508 | OK | Primary |
| Family Medicine Physician | 207Q00000X | 117508 | OK |
Addresses
Primary practice location
2101 N Van Buren St
Enid, OK 73703-2524
Mailing address
1001 W Memorial Rd Ste 112
Oklahoma City, OK 73114-2000
Phone (405) 509-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 W Memorial Rd
Suite 112
Oklahoma City, OK 73114-2000
Phone (405) 509-6599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79398-032 | KS | MD | Family Nurse Practitioner |
| 117508 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flexcare Infusion Okc, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Family Medicine | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients |
Locations
231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355
1513 W Wyatt Earp Blvd
Dodge City, KS 67801
Phone (620) 682-8304
445 W 15th St
Liberal, KS 67901
Phone (620) 417-9012
411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053
2101 N Van Buren St
Enid, OK 73703
Phone (580) 297-9993
2111 N Van Buren St
Enid, OK 73703
Phone (580) 233-0430
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
1001 W Memorial Rd
Ste 112
Oklahoma City, OK 73114
Phone (913) 908-9163
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FlexCare Infusion Centers
- Infusion Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1013480490
-
dba Integrity Urgent Care
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
KS
-
dba Integrity Urgent Care
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1144877341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W MEMORIAL RD STE 112",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731142000",
"telephone_number": "405-509-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N VAN BUREN ST",
"city": "ENID",
"state": "OK",
"postal_code": "737032524",
"telephone_number": "580-297-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "MONICA",
"middle_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-79398-032",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "117508",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "117508",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.