Individual provider Active NPI

Darrell Ray Hill, CNP

  • Nurse Practitioner
  • Cordell, OK
National Provider Identifier
1295079556
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0057113 Issued in OK
Practice address
1220 N Glenn English St
Cordell, OK 73632-2010
Phone
(580) 832-3339
NPI assigned
Nov 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0057113 OK Primary

Addresses

Primary practice location

1220 N Glenn English St
Cordell, OK 73632-2010

Mailing address

1109 N Glenn English St
Cordell, OK 73632-2007
Phone (580) 832-2222

Other practice location 1

1109 N Glenn English St
Cordell, OK 73632-2007
Phone (580) 832-2222

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
I20130219000049 OK Practitioner - Nurse Practitioner 5890940092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0057113OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cordell Memorial Hospital 0189 Current Accepting new patients
Cordell Nursing and Rehabilitation LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Weatherford Hospital Authority Past Accepting new patients

Locations

1220 N Glenn L English St
Cordell, OK 73632
Phone (580) 832-3339

1200 N Glenn L English St
Cordell, OK 73632
Phone (580) 832-3385

Interoperability endpoints

  • Direct secure messaging: dhill122765@direct-ehr-ssmhc.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1295079556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N GLENN ENGLISH ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736322007",
            "telephone_number": "580-832-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N GLENN ENGLISH ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736322010",
            "telephone_number": "580-832-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 N Glenn English St",
            "address_purpose": "LOCATION",
            "city": "Cordell",
            "state": "OK",
            "postal_code": "736322007",
            "country_code": "US",
            "telephone_number": "580-832-2222",
            "fax_number": "580-832-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "DARRELL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0057113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordell, OK

Sources for this page

Verify at the official NPI Registry.