Active NPI
Mary E. Pauzauskie, ARNP
- Family Nurse Practitioner
- Shawnee, OK
National Provider Identifier
1184675399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 61320
- Practice address
- 3208 Medical Park Dr
Shawnee, OK 74804-5014 - Phone
- (405) 878-7160
- Fax
- (405) 878-7149
- NPI assigned
- May 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | R0061320 | OK | |
| Family Nurse Practitioner | 363LF0000X | 61320 | OK | Primary |
Addresses
Primary practice location
3208 Medical Park Dr
Shawnee, OK 74804-5014
Mailing address
1102 W Macarthur St
Shawnee, OK 74804-1743
Phone (405) 273-2270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200049550B | Medicaid | OK | |
| 200049550A | Medicaid | OK |
Other names 1
- Mary Elizabeth Ozan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61320 | OK | MD | Family Nurse Practitioner |
| R0061320 | OK | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Mercy Health Services Inc. | Past | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Crow Agency, MT
- NPI 1548393358
-
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1255398251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1184675399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 W MACARTHUR ST",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041743",
"telephone_number": "405-273-2270",
"fax_number": "405-878-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 MEDICAL PARK DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748045014",
"telephone_number": "405-878-7160",
"fax_number": "405-878-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUZAUSKIE",
"first_name": "MARY",
"middle_name": "E.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OK",
"license": "R0061320",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "61320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200049550B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200049550A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "OZAN",
"middle_name": "ELIZABETH",
"credential": "CNS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.