Individual provider Active NPI

Carol Ann Weddle, ARNP

  • Adult Health Nurse Practitioner
  • Duncan, OK
National Provider Identifier
1295969137
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R29458 Issued in OK
Practice address
2210 Duncan Regional Loop
Duncan, OK 73533-1564
Phone
(580) 251-6657
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R29458 OK Primary

Addresses

Primary practice location

2210 Duncan Regional Loop
Duncan, OK 73533-1564

Mailing address

1015 W Pine Ave
Duncan, OK 73533-4257
Phone (405) 234-0065

Other identifiers 1

IdentifierTypeStateIssuer
200244760AMedicaidOK

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
I20090805000811 OK Practitioner - Nurse Practitioner 7315960325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

117 W Missouri St
Walters, OK 73572-1243
Phone (580) 875-5622

1415 N Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 252-5300

2621 N Whisenant Dr
Duncan, OK 73533-0911
Phone (580) 252-5300

Hospital & facility affiliations

  • Health Watch Health Care of Duncan, LLC Home health agency, Duncan, OK, CCN 377296
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Jefferson County Hospital Hospital, Waurika, OK, CCN 371311

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R29458OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Duncan Regional Hospital Inc Past Accepting new patients

Locations

303 N Rodeo Dr
Comanche, OK 73529
Phone (580) 439-6869

2434 Harville Rd
Ste 200
Duncan, OK 73533
Phone (580) 252-1373

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

2340 W Elk Ave
Rm 6
Duncan, OK 73533
Phone (580) 251-6822

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

1104 6th St
Ryan, OK 73565
Phone (580) 757-2451

Interoperability endpoints

  • Direct secure messaging: carol.weddle@direct.drhhealth.org

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.

Hospital & facility affiliations 10

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1295969137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W PINE AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334257",
            "telephone_number": "405-234-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DUNCAN REGIONAL LOOP",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331564",
            "telephone_number": "580-251-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDLE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R29458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200244760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.