Individual provider Active NPI

Michael Guston Weeks, RN, CCNS

  • Acute Care Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1184875783
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
R 0056273 Issued in OK
Practice address
5721 NW 132ND St
Oklahoma City, OK 73142-4437
Phone
(405) 557-1200
Fax
(405) 557-1977
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X R 0056273 OK Primary

Addresses

Primary practice location

5721 NW 132ND St
Oklahoma City, OK 73142-4437

Mailing address

5721 NW 132ND St
Oklahoma City, OK 73142-4437
Phone (405) 557-1200

Other identifiers 1

IdentifierTypeStateIssuer
200247680AMedicaidOK

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
I20090831000431 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 6800941600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Specialists, IncGroup PAC ID 3476550740, 37 clinicians

Practice addresses (Care Compare)

3233 NW 10 St
GLC NW
Oklahoma City, OK 73107-5203
Phone (405) 943-8366

5721 NW 132ND St
Oklahoma City, OK 73142-4437
Phone (405) 557-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 0056273OKMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Specialists, Inc CurrentSince Jun 14, 2009 Accepting new patients
Value Based Long Term Care J PC CurrentSince May 13, 2025 Accepting new patients
Careconnectmd Oklahoma PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Park Ave
Ste 1300
Oklahoma City, OK 73102
Phone (405) 689-9820

3233 NW 10th St
Oklahoma City, OK 73107
Phone (405) 943-8366

8900 Silver Hill Dr
Oklahoma City, OK 73132
Phone (405) 557-1200

4334 NW Expressway
Ste 175
Oklahoma City, OK 73116
Phone (405) 557-1200

5721 NW 132nd St
Oklahoma City, OK 73142
Phone (405) 557-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1184875783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200",
            "fax_number": "405-557-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200",
            "fax_number": "405-557-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "MICHAEL",
        "middle_name": "GUSTON",
        "name_prefix": "Mr.",
        "credential": "RN, CCNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OK",
            "license": "R 0056273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200247680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.