Kensie Bush, APRN-CNP
Individual provider Active NPI Family Medicine Physician · Stigler, OK
NPI 1295628345 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1295628345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 206554 (OK)
- Practice address
- 907 NW 5TH St
Stigler, OK 74462-1611 - Phone
- (918) 967-0055
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DLS Medical Clinic
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
- Compassion Home Care, Inc.
- Eastern Oklahoma Medical Center
- Haskell Regional Hospital, Inc
- Saint Francis Hospital Muskogee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250707001298 | OK | Practitioner - Nurse Practitioner | 5395259022 | Reassigns benefits to 3 organizations |
| I20260127002740 | AR | Practitioner - Nurse Practitioner | 5395259022 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206554 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Wound Management LLC | Current |
Accepting new patients | |
| DLS Medical Clinic | Current |
Accepting new patients | |
| Apex Wound Specialists LLC | Current |
Accepting new patients | |
| Haskell Regional Hospital, Inc | Past |
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
8211 E Regal Pl
Tulsa, OK 74133
Phone (918) 740-9476
7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 206554 | OK | Yes |
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
Other providers in Stigler, OK
- Dalena Brewer
- Eric S. Broadway
- Anita Busby
- Alysha Buselt
- Joshua Michael Buselt
- Patricia G Bush
- Vicki Bush
- Chasity Jane Butler
- Sheila Lynn Butler
- Austin B Byrum
All providers in Stigler, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.