Michelle Renee Sturdivant, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R0100094 Issued in OK

Practice address

616 SW 6TH St
Moore, OK 73160-2511

Phone

(405) 595-6969

NPI assigned

Oct 29, 2016

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carnegie Tri-County Municipal Hospital Management IncGroup PAC ID 6800835935, shared by 3 NPIs, 12 clinicians

Seiling Municipal Hospital AuthorityGroup PAC ID 9830189059, shared by 3 NPIs, 16 clinicians

Cah Acquisition Company 9 LLCGroup PAC ID 0941354823, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carnegie Tri-County Municipal Hospital Hospital, Carnegie, OK, CCN 371334
• Seiling Municipal Hospital Hospital, Seiling, OK, CCN 371332

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/carntri-0870329c
• FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701

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.

• Carnegie Tri-County Municipal Hospital Management, Inc

  dba Carnegie Tri-County Municipal Hospital

  • General Practice Physician
  • Carnegie, OK
  • NPI 1275657017
  Medicare reassignment NPD
• Carnegie Tri-County Municipal Hospital Management, Inc.

  dba Carnegie Tri-County Municipal Hospital

  • Critical Access Hospital
  • Carnegie, OK
  • NPI 1043323447
  Medicare reassignment NPD
• Ies Oklahoma LLC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1437916525
  Medicare reassignment NPD
• Mangum City Hospital Authority

  dba Mangum Regional Medical Center

  • Critical Access Hospital
  • Mangum, OK
  • NPI 1033635263
  Medicare reassignment NPD
• Prague Healthcare Authority

  dba Prague Memorial Regional Hospital

  • Emergency Medicine Physician
  • Prague, OK
  • NPI 1851537096
  Medicare reassignment NPD
• Seiling Municipal Hospital Authority

  • Critical Access Hospital
  • Seiling, OK
  • NPI 1740698109
  Medicare reassignment NPD
• Seiling Municipal Hospital Authority

  dba SMH Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Seiling, OK
  • NPI 1942757554
  Medicare reassignment NPD
• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991
  Medicare reassignment
• Carnegie Tri-County Municipal Hospital Management, Inc.

  dba Carnegie Tri-County Municipal Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Carnegie, OK
  • NPI 1861660920
  NPD
• Mangum City Hospital Authority

  dba Mangum Family Clinic

  • Rural Health Clinic/Center
  • Mangum, OK
  • NPI 1568978708
  NPD
• Prague Healthcare Authority

  dba Prague Memorial Regional Hospital

  • Critical Access Hospital
  • Prague, OK
  • NPI 1750527768
  NPD
• Seiling Municipal Hospital Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Seiling, OK
  • NPI 1568870921
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carnegie Tri-County Municipal Hospital Management, Inc.

  dba Carnegie Tri-County Municipal Hospital

  • Critical Access Hospital
  • Carnegie, OK
  • NPI 1043323447
  Care Compare affiliation
• Seiling Municipal Hospital Authority

  • Critical Access Hospital
  • Seiling, OK
  • NPI 1740698109
  Care Compare affiliation

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1154873743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SW 6TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602511",
            "telephone_number": "405-595-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SW 6TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602511",
            "telephone_number": "405-595-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDIVANT",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0100094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Strain
• Tonya Kay Stringer
• Teeia Strout, FNP
• Haley Harrison Strutton, DNP, APRN, FNP-C
• Nicole Stull
• Kylee Sullivan, M.S., CCC-SLP
• Summer Dental Moore PLLC
• Sunrise Pediatrics PLLC
• Tonya Lynn Sutherby
• Heesook Sutter

• Adult Health Nurse Practitioner in Moore, OK
• Providers in Moore, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.

Verify at the official NPI Registry.