Individual provider Active NPI

Kensie Bush, APRN-CNP

  • Family Medicine Physician
  • Stigler, OK
National Provider Identifier
1295628345
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206554 Issued in OK
Practice address
907 NW 5TH St
Stigler, OK 74462-1611
Phone
(918) 967-0055
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 206554 OK Primary

Addresses

Primary practice location

907 NW 5TH St
Stigler, OK 74462-1611

Mailing address

PO Box 82
Kinta, OK 74552-0082
Phone (918) 315-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250707001298 OK Practitioner - Nurse Practitioner 5395259022 Reassigns benefits to 3 organizations
I20260127002740 AR Practitioner - Nurse Practitioner 5395259022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLS Medical ClinicGroup PAC ID 7113348426, 2 clinicians

Practice addresses (Care Compare)

403 Morrow St N D
Mena, AR 71953-4317
Phone (918) 927-9413

907 NW 5TH St
Stigler, OK 74462-1611
Phone (918) 967-0055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206554OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Wound Management LLC CurrentSince Sep 15, 2025 Accepting new patients
DLS Medical Clinic CurrentSince Jun 11, 2025 Accepting new patients
Apex Wound Specialists LLC CurrentSince Aug 1, 2025 Accepting new patients
Haskell Regional Hospital, Inc PastSince Feb 21, 2021 Accepting new patients

Locations

6108 S 31st St
Fort Smith, AR 72908
Phone (479) 242-9355

403 Morrow St N
Ste D
Mena, AR 71953
Phone (479) 437-6080

903 W Main St
Ste A
Stigler, OK 74462
Phone (918) 967-0055

907 NW 5th St
Stigler, OK 74462
Phone (918) 967-0055

7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957

8211 E Regal Pl
Tulsa, OK 74133
Phone (918) 740-9476

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1295628345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "KINTA",
            "state": "OK",
            "postal_code": "745520082",
            "telephone_number": "918-315-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NW 5TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621611",
            "telephone_number": "918-967-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KENSIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "206554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

Verify at the official NPI Registry.