Active NPI
Anna Lara Wilkins, CPNP-AC
- Pediatric Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1144968546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 207935
- Practice address
- 3300 NW Expressway St
Oklahoma City, OK 73112-4999 - Phone
- (405) 949-3011
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 207935 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway St
Oklahoma City, OK 73112-4999
Mailing address
115 Forest Glen LN
Topsham, ME 04086-1343
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221014000340 | OK | Practitioner - Nurse Practitioner | 5799151890 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207935 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients |
Locations
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
Organizations & group practices 1
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": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1144968546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FOREST GLEN LN",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124999",
"telephone_number": "405-949-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "ANNA",
"middle_name": "LARA",
"name_prefix": "Mrs.",
"credential": "CPNP-AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "207935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.