Kenley Utley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

97787 Issued in OK

Practice address

6030 S 66TH East Ave
Tulsa, OK 74145-9236

Phone

(918) 508-7440

Fax

(918) 508-7442

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Wound Care of Oklahoma LLCGroup PAC ID 1254724081, 15 clinicians

Healwell LLCGroup PAC ID 7012399678, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

47.26 of 100Reported as individual

Quality

20

Promoting interoperability

0

Improvement activities

40

Cost

54.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Total Wound Care of Oklahoma, LLC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1972269033
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Oklahoma, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lawton, OK
  • NPI 1144625740
  Medicare reassignment NPD
• Healwell, LLC

  • Nurse Practitioner
  • Midwest City, OK
  • NPI 1639804602
  Care Compare group
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1225419799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S 66TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459236",
            "telephone_number": "918-508-7440",
            "fax_number": "918-508-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 S 66TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459236",
            "telephone_number": "918-508-7440",
            "fax_number": "918-508-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "KENLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "97787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utica Plastic Surgery Inc
• Utica Services Inc (Ascension RX 1602)
• Utica Services Inc. (Regional Radiology)
• Utica Services Inc. (Regional Radiology Mammography)
• Utica Women's Specialists, LLC
• April Tabitha Uto, LPC-S
• Krista A Utter, MS.,CCC-SLP
• Nathan Wilson Uy I, M.D.
• Deshara J V
• VA Medservices LLC

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.

Verify at the official NPI Registry.