Individual provider Active NPI

Scott T Stephens

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1235899139
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216734 Issued in OK
Practice address
16400 N May Ave
Edmond, OK 73013-8971
Phone
(405) 471-6800
NPI assigned
Dec 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0101628 OK
Family Nurse Practitioner 363LF0000X 216734 OK Primary

Addresses

Primary practice location

16400 N May Ave
Edmond, OK 73013-8971

Mailing address

649 W Beam Ave
Yukon, OK 73099-3833
Phone (405) 922-0547

Other practice location 1

200 Martin Luther King Blvd
Wichita Falls, TX 76301-1152
Phone (940) 766-6306

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
I20240417001447 OK Practitioner - Nurse Practitioner 7911346432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0101628OKMDRegistered Nurse
216734OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Health Allset Urgent Care LLC CurrentSince Apr 15, 2024 Accepting new patients
Icare Center LLC CurrentSince Mar 27, 2024 Accepting new patients

Locations

3224 S Broadway
Ste 112
Edmond, OK 73013
Phone (405) 427-4941

208 S Douglas Blvd
Ste C
Midwest City, OK 73130
Phone (405) 427-4946

3075 Classen Blvd
Ste 226
Norman, OK 73071

3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

6900 NW 122nd St
Ste 105
Oklahoma City, OK 73142
Phone (405) 427-4943

10740 S May Ave
Ste 113
Oklahoma City, OK 73170
Phone (405) 427-4942

5401 N Pennsylvania Ave
Oklahoma City, OK 73112
Phone (405) 427-4944

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1235899139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 W BEAM AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993833",
            "telephone_number": "405-922-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 N MAY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138971",
            "telephone_number": "405-471-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763011152",
            "country_code": "US",
            "telephone_number": "940-766-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SCOTT",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0101628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.