Stephanie Ann Durham, AGNP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Newkirk, OK
NPI 1306356183 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1306356183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 64988 (OK)
- Practice address
- 716 S Highway 77
Newkirk, OK 74647-7009 - Phone
- (580) 362-2555
- Fax
- (580) 362-2948
- NPI assigned
- Oct 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairfax Medical Facilities Inc
Practice addresses (Care Compare)
119 W Main St
Hominy, OK 74035-1031
Phone (918) 885-4640
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|---|
| I20180202000096 | OK | Practitioner - Nurse Practitioner | 0840550208 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG08170142 | OK | MD | Adult Health Nurse Practitioner |
| R0064988 | OK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Medical Facilities Inc | Multi-Specialty | Current |
Accepting new patients |
| Fairfax Medical Facilities, Inc. | Current |
Accepting new patients | |
| Homecare Advisors LLC | Multi-Specialty | Current |
Accepting new patients |
| Composure Solution LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Fairfax Medical Facilities Inc | Past | Accepting new patients | |
| Fairfax Medical Facilities Inc | Multi-Specialty | Past | Accepting new patients |
Locations
2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053
212 N Main St
Fairfax, OK 74637
Phone (918) 642-3100
119 W Main St
Hominy, OK 74035
Phone (918) 497-8138
716 S Highway 77
Newkirk, OK 74647
Phone (580) 362-2555
122 E Grand Ave
Ponca City, OK 74601
Phone (580) 203-8270
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGHIAA
- stephanie.hope@fmf.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R0064988 | OK | |
| Adult Health Nurse Practitioner |
363LA2200X | 64988 | OK | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | AG08170142 | OK |
Addresses
Primary practice location
716 S Highway 77
Newkirk, OK 74647-7009
Mailing address
212 N Main St
Fairfax, OK 74637-3023
Phone (918) 642-3100
Other practice location 1
122 E Grand Ave
Ponca City, OK 74601-5205
Phone (580) 302-8270
Other practice location 2
9001 W 51st St
Tulsa, OK 74107-8547
Phone (918) 815-9443
Other practice location 3
9001 W 51st St
Tulsa, OK 74107-8547
Phone (918) 815-9443
Other practice location 4
119 W Main St
Hominy, OK 74035-1031
Phone (918) 885-4640
Other practice location 5
212 N Main St
Fairfax, OK 74637-3023
Phone (918) 642-3100
Other names
- Stephanie Ann Durham Hope
Other providers in Newkirk, OK
- All About HHC LLC
- Jennifer Dawn Axelson
- Sharolyn Sharae Burton
- City of Newkirk
- Brant Dillon
- Fairfax Medical Facilities Inc
- Fairfax Medical Facilities, Inc.
- Lela J. Goatley
- Christopher Greenhagen
- Maverick Ray Henneke
All providers in Newkirk, OK · Adult Health Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. 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.