Individual provider Active NPI

Gloria Ayisi, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1285044461
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77766 Issued in OK
Practice address
2400 NW 36TH St Ste 100
Oklahoma City, OK 73112-7844
Phone
(405) 632-6688
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77766 OK Primary

Addresses

Primary practice location

2400 NW 36TH St Ste 100
Oklahoma City, OK 73112-7844

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

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
I20140812002382 OK Practitioner - Nurse Practitioner 7416174636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

11808 S May Ave
Oklahoma City, OK 73170-2560
Phone (405) 735-2370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77766OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care of Oklahoma LLC Current Accepting new patients
Immediate Care of Oklahoma CurrentSince Jan 20, 2025 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Jan 15, 2025 Accepting new patients
Immediate Care of Oklahoma, LLC CurrentSince Jan 20, 2025 Accepting new patients
Medical Resource Management, LLC CurrentSince Jan 15, 2025 Accepting new patients

Locations

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

3321 W Tecumseh Rd
Ste 125
Norman, OK 73072
Phone (405) 307-6900

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • Direct secure messaging: gloria.ayisifnp.p10@direct.nextcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gloria.ayisifnp.p8@direct.nextcare.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1285044461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW 36TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127844",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYISI",
        "first_name": "GLORIA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.