Individual provider Active NPI

Stephanie Ranae Mowdy, APRN,MS,CCNS

  • Acute Care Clinical Nurse Specialist
  • Ada, OK
National Provider Identifier
1316178262
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
R0047989 Issued in OK
Practice address
905 Colony Dr
Ada, OK 74820-2329
Phone
(580) 436-5111
Fax
(580) 436-1159
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Oklahoma Family Medical Center Inc 57 clinicians

Practice addresses (Care Compare)

2403 W Wrangler Blvd
Seminole, OK 74868-1900
Phone (580) 436-5111

301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111

304 N Monte Vista St
Ada, OK 74820-7484
Phone (580) 436-5111

527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227

625 N Monte Vista St
Ada, OK 74820-4613
Phone (580) 436-5111

807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855

905 Colony Dr
Ada, OK 74820-2329
Phone (580) 436-5111

Hospital & facility affiliations

  • Enhabit Home Health of Central Oklahoma Home health agency, Norman, OK, CCN 377196
  • Lifespring Home Care Home health agency, Pauls Valley, OK, CCN 377757
  • Elara Caring Xxiii Home health agency, Ada, OK, CCN 377568
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130510000417 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 4789821760 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0047989OKMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coal County General Hospital CurrentSince Dec 12, 2023 Accepting new patients
Coal County General Hospital CurrentSince Dec 12, 2023 Accepting new patients
Central Oklahoma Family Medical Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Central Oklahoma Family Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
Quickcare Aprn-CNP, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

709 Better Now Plz
Ada, OK 74820
Phone (580) 310-9899

905 Colony Dr
#A
Ada, OK 74820

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

6 N Covington St
Coalgate, OK 74538
Phone (580) 927-2327

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

Interoperability endpoints

  • Direct secure messaging: stephanie.mowdy@cof.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16230/brand/1/csg/1/fhir/r4

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X R47989 OK
Acute Care Clinical Nurse Specialist 364SA2100X R0047989 OK Primary
Enterostomal Therapy Registered Nurse 163WE0900X R47989 OK
Diabetes Educator Registered Nurse 163WD0400X R47989 OK

Addresses

NPPES NPI Registry

Primary practice location

905 Colony Dr
Ada, OK 74820-2329

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
47989OtherOKOKLAHOMA BOARD OF NURSING

Other names 1

NPPES NPI Registry
  • Prof. Stephanie Ranae Mowdy Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316178262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286",
            "fax_number": "580-925-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-436-5111",
            "fax_number": "580-436-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWDY",
        "first_name": "STEPHANIE",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "APRN,MS,CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OK",
            "license": "R47989",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OK",
            "license": "R0047989",
            "primary": true
        },
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "OK",
            "license": "R47989",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OK",
            "license": "R47989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF NURSING",
            "identifier": "47989",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MOWDY",
            "middle_name": "RANAE",
            "prefix": "PROF.",
            "credential": "APRN,MS,CCNS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.