Individual provider Active NPI

Karie Leigh Stewart, ARNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1184893000
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2007008948-22 Issued in OK
Practice address
13921 N Meridian Ave Ste 100
Oklahoma City, OK 73134-1106
Phone
(405) 752-6000
Fax
(405) 752-9650
NPI assigned
Feb 25, 2008
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 2007008948-22 OK Primary

Addresses

Primary practice location

13921 N Meridian Ave Ste 100
Oklahoma City, OK 73134-1106

Mailing address

5101 W Memorial Rd
Oklahoma City, OK 73142-2018
Phone (405) 752-9600

Other identifiers 2

IdentifierTypeStateIssuer
0090059OtherOKBOARD OF NURSING
2007008948-22OtherOKNURSE PRACTITIONER

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
I20160224001342 OK Practitioner - Nurse Practitioner 1850696634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly Medical, PCGroup PAC ID 3173535515, 7 clinicians

Practice addresses (Care Compare)

13921 N Meridian Ave
Suite 100
Oklahoma City, OK 73134-1106
Phone (405) 752-9600

Merit-based Incentive Payment System (MIPS)

Final score
34.98 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
73.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007008948-22OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Medical, PC CurrentSince Dec 30, 2015 Accepting new patients
Oklahoma Outpatient Pain and Spine Center LLC Past Accepting new patients

Locations

13921 N Meridian Ave
Ste 100
Oklahoma City, OK 73134
Phone (405) 749-0900

5101 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 463-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1184893000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422018",
            "telephone_number": "405-752-9600",
            "fax_number": "405-752-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341106",
            "telephone_number": "405-752-6000",
            "fax_number": "405-752-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KARIE",
        "middle_name": "LEIGH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "2007008948-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "0090059",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "2007008948-22",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.