Active NPI
Valerie Rachelle Wilson, DNP, FNP-C
- Family Medicine Physician
- Claremore, OK
National Provider Identifier
1255870465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95796
- Practice address
- 6633 E 540 Rd
Claremore, OK 74019 - Phone
- (918) 965-0220
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 95796 | OK | |
| Family Medicine Physician | 207Q00000X | F09171417 | OK | |
| Family Medicine Physician | 207Q00000X | 95796 | OK | Primary |
Addresses
Primary practice location
6633 E 540 Rd
Claremore, OK 74019
Mailing address
350 S 40TH St
Muskogee, OK 74401-4915
Phone (918) 683-0753
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95796 | Other | RN | |
| F09171417 | Other | OK | NP-C |
| 1255870465 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09171417 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Cardiovascular Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- valerie.estes.2@23284.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1255870465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S 40TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014915",
"telephone_number": "918-683-0753",
"fax_number": "918-683-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 E 540 RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "74019",
"telephone_number": "918-965-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VALERIE",
"middle_name": "RACHELLE",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2021-12-15",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "OK",
"license": "95796",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "F09171417",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "95796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "95796",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP-C",
"identifier": "F09171417",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255870465",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.