Stephanie Pennie, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

206285 Issued in 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

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Arthritis Center, P.C.Group PAC ID 0446239743, 45 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.12 of 100Reported as group

Quality

64.14

Promoting interoperability

75

Improvement activities

40

Cost

70.43

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oklahoma Arthritis Center, P.C.

  • Rheumatology Physician
  • Edmond, OK
  • NPI 1528036019
  Medicare reassignment Care Compare group NPD
• Ok Center for Arthritis

  • Rheumatology Physician
  • Tulsa, OK
  • NPI 1598785701
  NPD (past)

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

{
    "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": []
}

• Rodney Scott Penland
• Katie Penn, DO
• Mary J Penn, RPT
• Emily Grace Penner
• Robert Penney
• Pennington Creek Lifehouse
• Diana A Pennington
• Kendra Sue Pennington, OTR/L
• Michael Cris Pennington
• Michael V Pennington

• Primary Care Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.

Verify at the official NPI Registry.