Individual provider Active NPI

Traci McClay, APRN-CNP

  • Acute Care Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1255966685
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
106186 Issued in OK
Practice address
4140 W Memorial Rd Ste 621
Oklahoma City, OK 73120-8365
Phone
(405) 752-3798
Fax
(405) 749-4234
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 106186 OK
Acute Care Nurse Practitioner 363LA2100X 106186 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd Ste 621
Oklahoma City, OK 73120-8365

Mailing address

4140 W Memorial Rd Ste 621
Oklahoma City, OK 73120-8365
Phone (405) 752-3798

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
I20230215002667 OK Practitioner - Nurse Practitioner 3971975103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

4140 W Memorial Rd
Suite 621
Oklahoma City, OK 73120-8365
Phone (405) 749-4231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106186OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Jun 30, 2025 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Feb 20, 2023 Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4140 W Memorial Rd
Ste 621
Oklahoma City, OK 73120
Phone (405) 749-4224

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1255966685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 621",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208365",
            "telephone_number": "405-752-3798",
            "fax_number": "405-749-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 621",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208365",
            "telephone_number": "405-752-3798",
            "fax_number": "405-749-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAY",
        "first_name": "TRACI",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "106186",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "106186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.