Active NPI
Damarcus Rocheon Nelson, APRN
- Family Nurse Practitioner
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 90736
- Practice address
- 11109 Surrey Hills Blvd
Yukon, OK 73099-8155 - Phone
- (405) 373-2400
- Fax
- (405) 373-4400
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 90736 | OK | Primary |
Addresses
Primary practice location
11109 Surrey Hills Blvd
Yukon, OK 73099-8155
Mailing address
PO Box 660
Piedmont, OK 73078-0660
Phone (405) 373-2400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11109 Surrey Hills Blvd
Yukon, OK 73099-8155
Phone (405) 373-2400
Hospital & facility affiliations
- Best Choice Home Health Inc
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care & Minor Emergency Clinic Inc | Current | Accepting new patients | |
| Neighborhood Family Clinic & Minor | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
6102 NW 63rd St
Ste A
Oklahoma City, OK 73132
Phone (405) 373-2400
6102 NW 63rd St
Ste B
Oklahoma City, OK 73132
Phone (405) 373-2400
2501 N Blackwelder Ave
Oklahoma City, OK 73106
Phone (405) 208-5000
6102 NW 63rd St
#B
Oklahoma City, OK 73132
Phone (405) 373-2400
11109 Surrey Hills Blvd
Yukon, OK 73099
Phone (405) 373-2400
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.
-
- Clinic/Center
- Yukon, OK
- NPI 1548355134
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1730304320
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1144556952
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1821364662
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1194080499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "PIEDMONT",
"state": "OK",
"postal_code": "730780660",
"telephone_number": "405-373-2400",
"fax_number": "405-373-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11109 SURREY HILLS BLVD",
"city": "YUKON",
"state": "OK",
"postal_code": "730998155",
"telephone_number": "405-373-2400",
"fax_number": "405-373-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAMARCUS",
"middle_name": "ROCHEON",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "90736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.