Individual provider Active NPI

Michael Dee Gotcher, CNS, ARNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1306021571
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79164 Issued in OK
Practice address
8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone
(405) 749-7099
Fax
(405) 773-9418
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79164 OK Primary
Emergency Clinical Nurse Specialist 364SE0003X 73164 OK

Addresses

Primary practice location

8325 NW Expressway
Oklahoma City, OK 73162-6006

Mailing address

8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone (405) 749-7099

Other identifiers 1

IdentifierTypeStateIssuer
79164OtherOKSTATE LICENSE

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
I20100510000649 OK Practitioner - Nurse Practitioner 7012045255 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73164OKMDEmergency Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC CurrentSince Jan 1, 2011 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 4, 2014 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Feb 27, 2018 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Oct 1, 2020 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Feb 27, 2018 Accepting new patients
Emergency Physicians of Mid-America, P.C. CurrentSince Dec 1, 2014 Accepting new patients
Oklahoma Emergency Services PC CurrentSince Jan 1, 2011 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Oct 1, 2020 Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653

Organizations & group practices 9

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1306021571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626006",
            "telephone_number": "405-749-7099",
            "fax_number": "405-773-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626006",
            "telephone_number": "405-749-7099",
            "fax_number": "405-773-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTCHER",
        "first_name": "MICHAEL",
        "middle_name": "DEE",
        "name_prefix": "Mr.",
        "credential": "CNS, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "79164",
            "primary": true
        },
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "OK",
            "license": "73164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "79164",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.