Active NPI
Scott T Stephens
- Family Nurse Practitioner
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 216734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R0101628 | OK | MD | Registered Nurse |
| 216734 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Health Allset Urgent Care LLC | Current | Accepting new patients | |
| Icare Center LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1164107256
-
- Urgent Care Clinic/Center
- Harrah, OK
- NPI 1881190833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.