Active NPI
Walter Clinton Maxcey, APRN-CNP
- Family Nurse Practitioner
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 120518
- Practice address
- 1601 N Broadway Ave
Ada, OK 74820-1403 - Phone
- (580) 421-7850
- Fax
- (580) 421-7855
- NPI assigned
- Oct 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120518 | OK | Primary |
Addresses
Primary practice location
1601 N Broadway Ave
Ada, OK 74820-1403
Mailing address
1601 N Broadway Ave
Ada, OK 74820-1403
Phone (580) 421-7850
Other practice location 1
531 E Washington Ave
McAlester, OK 74501-4761
Phone (918) 470-3926
Other practice location 2
400 NE 12th St
Guymon, OK 73942-3655
Phone (580) 338-2637
Other practice location 3
400 NE 12th St
Guymon, OK 73942-3655
Phone (580) 338-2637
Other practice location 4
531 E Washington Ave
McAlester, OK 74501-4761
Phone (918) 470-3926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200744650A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-6987
111 W Forrest Ave B
Eufaula UC
Eufaula, OK 74432-3205
Phone (918) 490-7011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAlester Regional Health Center Authority | Current | Accepting new patients | |
| McAlester Medical Services, LLC | Current | Accepting new patients | |
| Panhandle Womens Center P L L C | Past | Accepting new patients | |
| McAlester Regional Health Center Authority | Past | Accepting new patients | |
| Eagle Partners, PLLC | Past | Accepting new patients |
Locations
111 W Forrest Ave
Ste B
Eufaula, OK 74432
Phone (918) 490-7011
1 Hospital Dr
Eufaula, OK 74432
Phone (918) 689-2535
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
10 S 3rd St
McAlester, OK 74501
Phone (918) 382-3178
4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700
Interoperability endpoints
- walter.maxcey@direct.mrhcok.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- McAlester, OK
- NPI 1154317998
-
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
- Diagnostic Radiology Physician
- Duncan, OK
- NPI 1548450976
-
- Home Health Agency
- McAlester, OK
- NPI 1346344330
-
- Specialist
- Guymon, OK
- NPI 1336172857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1265943476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N BROADWAY AVE",
"city": "ADA",
"state": "OK",
"postal_code": "748201403",
"telephone_number": "580-421-7850",
"fax_number": "580-421-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N BROADWAY AVE",
"city": "ADA",
"state": "OK",
"postal_code": "748201403",
"telephone_number": "580-421-7850",
"fax_number": "580-421-7855"
}
],
"practiceLocations": [
{
"address_1": "531 E Washington Ave",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745014761",
"country_code": "US",
"telephone_number": "918-470-3926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 NE 12th St",
"address_purpose": "LOCATION",
"city": "Guymon",
"state": "OK",
"postal_code": "739423655",
"country_code": "US",
"telephone_number": "580-338-2637",
"fax_number": "580-338-2652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 NE 12th St",
"address_purpose": "LOCATION",
"city": "Guymon",
"state": "OK",
"postal_code": "739423655",
"country_code": "US",
"telephone_number": "580-338-2637",
"fax_number": "580-338-2652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "531 E Washington Ave",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745014761",
"country_code": "US",
"telephone_number": "918-470-3926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXCEY",
"first_name": "WALTER",
"middle_name": "CLINTON",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-14",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "120518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200744650A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.