Adrian Theerman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

86142 Issued in OK

Practice address

2950 S Elm PL Ste 120
Broken Arrow, OK 74012-7816

Phone

(918) 451-5191

Fax

(918) 451-5272

NPI assigned

Jan 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Oklahoma Physician Network IncGroup PAC ID 8527224252, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atheerman259971@ahs.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DIHBDD

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.

• Northeast Oklahoma Physician Network Inc

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1114283025
  Medicare reassignment Care Compare group NPD
• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282
  Medicare reassignment NPD
• Northeast Oklahoma Physician Network Inc

  • Urgent Care Clinic/Center
  • Broken Arrow, OK
  • NPI 1205190501
  NPD
• Urgent Care Incorporated

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1215992235
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1295375996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363361",
            "telephone_number": "918-488-6653",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S ELM PL STE 120",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127816",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEERMAN",
        "first_name": "ADRIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "86142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Ferrante Group Inc.
• The Griffin Promise
• The Griffin Promise
• The Restorative Pain to Wellness Center, Inc.
• The Spot for Kids
• Gary E Theobald, DMD
• Think Safety, LLC
• Shannon Cheng Tho
• Thomas H Berenson O D P C
• Caleb Thomas

• Family Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.