Individual provider Active NPI

Charles O Higdon III, FNP

  • Family Nurse Practitioner
  • Stigler, OK
National Provider Identifier
1306312830
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86328 Issued in OK
Practice address
205 N Broadway St
Stigler, OK 74462-2043
Phone
(918) 917-3258
Fax
(918) 398-8897
NPI assigned
Oct 23, 2018
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 86328 OK Primary

Addresses

Primary practice location

205 N Broadway St
Stigler, OK 74462-2043

Mailing address

205 N Broadway St
Stigler, OK 74462-2043
Phone (918) 917-3258

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
I20181114000852 OK Practitioner - Nurse Practitioner 2062766843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haskell Regional Hospital IncGroup PAC ID 1153742739, shared by 10 NPIs, 7 clinicians

Practice addresses (Care Compare)

401 NW H St
Stigler, OK 74462-1625
Phone (918) 967-4682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
86328OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell Regional Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Haskell Regional Hospital, Inc. Current Accepting new patients
Haskell Regional Hospital, Inc. Past Accepting new patients

Locations

401 NW H St
Stigler, OK 74462
Phone (918) 967-4682

503 NW H St
Stigler, OK 74462
Phone (918) 967-0055

810 Highway 2 N
Wilburton, OK 74578
Phone (918) 205-4972

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 1

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1306312830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N BROADWAY ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622043",
            "telephone_number": "918-917-3258",
            "fax_number": "918-398-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BROADWAY ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622043",
            "telephone_number": "918-917-3258",
            "fax_number": "918-398-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "CHARLES",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "86328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

Verify at the official NPI Registry.