Individual provider Active NPI

Bethany Carolee Rollins, APRN, FNP-C

  • Family Nurse Practitioner
  • Stroud, OK
National Provider Identifier
1215282132
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71772 Issued in OK
Practice address
356110 E 930 Rd
Stroud, OK 74079-5184
Phone
(918) 968-9531
Fax
(800) 830-0683
NPI assigned
Jul 17, 2012
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71772 OK Primary

Addresses

Primary practice location

356110 E 930 Rd
Stroud, OK 74079-5184

Mailing address

356110 E 930 Rd
Stroud, OK 74079-5184
Phone (918) 968-9531

Other identifiers 2

IdentifierTypeStateIssuer
200443880AMedicaidOK
71772OtherOKAPRN, CNP, RX, OK STATE LICENSE

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
I20121005000641 OK Practitioner - Nurse Practitioner 2062661010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 E Broadway St
Cushing, OK 74023-3432
Phone (918) 725-3750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71772OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Healthcare Group LLC Family CurrentSince Mar 9, 2026 Accepting new patients
Peter Lafon, DO, PLLC Past Accepting new patients
Stillwater Medical Center Authority PastSince Oct 1, 2014 Accepting new patients

Locations

601 E Broadway St
Cushing, OK 74023
Phone (918) 285-5500

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, 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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1215282132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356110 E 930 RD",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740795184",
            "telephone_number": "918-968-9531",
            "fax_number": "918-968-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356110 E 930 RD",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740795184",
            "telephone_number": "918-968-9531",
            "fax_number": "800-830-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "BETHANY",
        "middle_name": "CAROLEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "71772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200443880A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN, CNP, RX, OK STATE LICENSE",
            "identifier": "71772",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroud, OK

Sources for this page

Verify at the official NPI Registry.