Individual provider Active NPI

Monica Ashley Wilder

  • Family Nurse Practitioner
  • Enid, OK
National Provider Identifier
1144877341
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117508 Issued in OK
Practice address
2101 N Van Buren St
Enid, OK 73703-2524
Phone
(580) 297-9993
NPI assigned
Aug 22, 2019
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191031002774 OK Practitioner - Nurse Practitioner 8325370943 Reassigns benefits to 3 organizations
I20200728001956 KS Practitioner - Nurse Practitioner 8325370943 Reassigns benefits to 1 organization

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
Flexcare Infusion Okc, LLCGroup PAC ID 3870826118, 6 clinicians

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

LicenseStateTypeSpecialty
53-79398-032KSMDFamily Nurse Practitioner
117508OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flexcare Infusion Okc, LLC CurrentSince Jan 14, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Sep 14, 2019 Accepting new patients
Williams Medical Group Practice, LLC Family Medicine CurrentSince Sep 14, 2019 Accepting new patients
Signify Health, LLC CurrentSince Feb 9, 2023 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.

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

Verify at the official NPI Registry.