Stephanie Ann Durham, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

64988 Issued in OK

Practice address

716 S Highway 77
Newkirk, OK 74647-7009

Phone

(580) 362-2555

Fax

(580) 362-2948

NPI assigned

Oct 5, 2017

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Ann Durham Hope Other name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfax Medical Facilities IncGroup PAC ID 4284663360, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA
• Direct secure messaging: stephanie.hope@fmf.eclinicaldirectplus.com

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.

• Fairfax Medical Facilities Inc

  dba Robert Clark Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Homecare Advisors LLC

  dba Pinnacle Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durant, OK
  • NPI 1689152894

  Multi-Specialty

  Medicare reassignment NPD
• Composure Solution LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sand Springs, OK
  • NPI 1053137034
  NPD Authorized official
• Fairfax Medical Facilities, Inc.

  dba Ponca City Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  NPD
• Fairfax Medical Facilities Inc

  dba Hominy Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hominy, OK
  • NPI 1609040864

  Multi-Specialty

  NPD (past)
• Fairfax Medical Facilities Inc

  dba Newkirk Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newkirk, OK
  • NPI 1851535785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1306356183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "FAIRFAX",
            "state": "OK",
            "postal_code": "746373023",
            "telephone_number": "918-642-3100",
            "fax_number": "918-642-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S HIGHWAY 77",
            "city": "NEWKIRK",
            "state": "OK",
            "postal_code": "746477009",
            "telephone_number": "580-362-2555",
            "fax_number": "580-362-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "OK",
            "postal_code": "746373023",
            "country_code": "US",
            "telephone_number": "918-642-3100",
            "fax_number": "918-642-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746015205",
            "country_code": "US",
            "telephone_number": "580-302-8270",
            "fax_number": "580-749-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 W 51st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741078547",
            "country_code": "US",
            "telephone_number": "918-815-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 W 51st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741078547",
            "country_code": "US",
            "telephone_number": "918-815-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 W Main St",
            "address_purpose": "LOCATION",
            "city": "Hominy",
            "state": "OK",
            "postal_code": "740351031",
            "country_code": "US",
            "telephone_number": "918-885-4640",
            "fax_number": "918-885-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0064988",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "64988",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "AG08170142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DURHAM HOPE",
            "middle_name": "ANN",
            "credential": "APRN CNP PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Dawn Axelson, RN
• Sharolyn Sharae Burton, DDS
• City of Newkirk (NewkirkFire/EMS)
• Lesha Delaney, LCPC
• Brant Dillon
• Fairfax Medical Facilities Inc (Newkirk Family Health Center)
• Fairfax Medical Facilities, Inc. (Newkirk Pharmacy)
• Lela J. Goatley, ARNP
• Christopher Greenhagen, PA-C
• Maverick Ray Henneke, PHARMD

• Adult Health Nurse Practitioner in Newkirk, OK
• Providers in Newkirk, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.