Individual provider Active NPI

Joycy Pranabdev

  • Psychiatric/Mental Health Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1194429829
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
214477 Issued in OK
Practice address
100 S Monroe St Ste 15
Elk City, OK 73644-5762
Phone
(580) 210-9396
Fax
(580) 245-6457
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0076371 OK
Nurse Practitioner 363L00000X 214477 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 214477 OK Primary

Addresses

Primary practice location

100 S Monroe St Ste 15
Elk City, OK 73644-5762

Mailing address

2606 E Highway 66
Elk City, OK 73644-9611
Phone (580) 210-9366

Other practice location 1

629 W Main St
Oklahoma City, OK 73102-2221
Phone (580) 210-9396

Other practice location 2

1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312
Phone (405) 345-5366

Other identifiers 2

IdentifierTypeStateIssuer
1194429829MedicaidOK
1033968771MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231107002403 OK Practitioner - Nurse Practitioner 0446607873 Reassigns benefits to 4 organizations
I20240502001280 CO Practitioner - Nurse Practitioner 0446607873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Springs Physician Group LLCGroup PAC ID 1658658026, 16 clinicians
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

13101 Memorial Springs CT
Oklahoma City, OK 73114-2226
Phone (405) 438-3000

14221 E 4TH Ave
Suite 2 126
Aurora, CO 80011-8735
Phone (720) 507-4779

629 W Main St
Oklahoma City, OK 73102-2221
Phone (405) 345-5366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R0076371OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Springs Physician Group LLC CurrentSince Oct 25, 2023 Accepting new patients
Mile High Psychiatry LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Jesko Wellness Nurse Practitioner CurrentSince Jun 30, 2024 Accepting new patients
Mile High Psychiatry, LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
South Central Medical and Resource Center Inc. CurrentSince Mar 16, 2026 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Jan 13, 2026 Accepting new patients
Oakwood Springs, LLC PastSince Oct 25, 2023 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

15355 E Colfax Ave
Unit 111717
Aurora, CO 80042

2222 W Iowa Ave
Chickasha, OK 73018

2606 E Highway 66
Elk City, OK 73644

100 S Monroe St
Ste 15
Elk City, OK 73644
Phone (580) 210-9396

217 S Main St
Lindsay, OK 73052
Phone (405) 956-3356

13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000

629 W Main St
Oklahoma City, OK 73102
Phone (405) 345-5366

1002 NE Highway 66
Ste 3
Sayre, OK 73662
Phone (580) 210-1565

1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940

Interoperability endpoints

  • Direct secure messaging: joycy.pranabdev.1@27879.direct.athenahealth.com

Organizations & group practices 8

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1194429829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 E HIGHWAY 66",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449611",
            "telephone_number": "580-210-9366",
            "fax_number": "580-245-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MONROE ST STE 15",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445762",
            "telephone_number": "580-210-9396",
            "fax_number": "580-245-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 W Main St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731022221",
            "country_code": "US",
            "telephone_number": "580-210-9396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 NE Highway 66 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "OK",
            "postal_code": "736629312",
            "country_code": "US",
            "telephone_number": "405-345-5366",
            "fax_number": "580-245-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANABDEV",
        "first_name": "JOYCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0076371",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "214477",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "214477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194429829",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033968771",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.