Stephanie Pennie, NP

Key facts

NPI

1255976643

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

206285 (OK)

Practice address

6135 S 90TH East Ave
Tulsa, OK 74133-6365

Phone

(539) 215-5609

Fax

(539) 233-2480

NPI assigned

Nov 9, 2019

Sex

Female

Sole proprietor

No

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.

• Oklahoma Arthritis Center, P.C. Rheumatology Physician · Edmond, OK · NPI 1528036019
  Medicare reassignment Care Compare group NPD OK
• Ok Center for Arthritis Rheumatology Physician · Tulsa, OK · NPI 1598785701
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Arthritis Center, P.C. (45 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.12 of 100 (group)

Quality

64.14

Promoting interoperability

75

Improvement activities

40

Cost

70.43

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://tw-fhir.okarthritis.com/R4/fhir-R4
• Direct secure messaging: stephaniepennie@oac.allscriptsdirect.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 30, 2022.

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1255976643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 S 90TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336365",
            "telephone_number": "539-215-5609",
            "fax_number": "539-233-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 S 90TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336365",
            "telephone_number": "539-215-5609",
            "fax_number": "539-233-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNIE",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "206285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Tulsa, OK · Primary Care Nurse Practitioner in Oklahoma