Individual provider Active NPI

Carley McLaughlin, MSN, FNP-C

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1265090930
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
92641 Issued in OK
Practice address
1709 W 33Rd St
Edmond, OK 73013-3861
Phone
(405) 229-8209
Fax
(405) 844-3445
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 92641 OK
Family Nurse Practitioner 363LF0000X 92641 OK Primary

Addresses

Primary practice location

1709 W 33Rd St
Edmond, OK 73013-3861

Mailing address

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 229-8209

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
I20191009001995 OK Practitioner - Nurse Practitioner 4183955909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Oklahoma College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carley McLaughlin Aprn-CNP PLLCGroup PAC ID 4183009327, 4 clinicians

Practice addresses (Care Compare)

1709 W 33Rd St a
Prinstine Health
Edmond, OK 73013-3862
Phone (405) 229-8209

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
92641OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carley McLaughlin, Aprn-CNP, PLLC CurrentSince Aug 26, 2022 Accepting new patients
Melisa Weaver Aprn - CNP PLLC PastSince Sep 5, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1709 W 33rd St
Edmond, OK 73013
Phone (405) 229-8209

1709 W 33rd St
Ste A
Edmond, OK 73013
Phone (405) 229-8209

Organizations & group practices 4

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 1

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1265090930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-229-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 W 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133861",
            "telephone_number": "405-229-8209",
            "fax_number": "405-844-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "CARLEY",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OK",
            "license": "92641",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.