Individual provider Active NPI

Michele W Maranto, NURSE PRACTITIONER A

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1174590731
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R63497 Issued in OK
Practice address
1501 SE 19TH
Edmond, OK 73013-6618
Phone
(405) 348-6611
Fax
(405) 348-9280
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R63497 OK Primary

Addresses

Primary practice location

1501 SE 19TH
Edmond, OK 73013-6618

Mailing address

1501 SE 19TH
Edmond, OK 73013-6618
Phone (405) 348-6611

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
I20040228000095 OK Practitioner - Nurse Practitioner 4183511835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 E 19TH St
Edmond, OK 73013-6618

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R63497OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 1, 2015 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 1, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

14101 N Eastern Ave
Ste E
Edmond, OK 73013
Phone (405) 340-1279

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1174590731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SE 19TH",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136618",
            "telephone_number": "405-348-6611",
            "fax_number": "405-348-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SE 19TH",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136618",
            "telephone_number": "405-348-6611",
            "fax_number": "405-348-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANTO",
        "first_name": "MICHELE",
        "middle_name": "W",
        "credential": "NURSE PRACTITIONER A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R63497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.