NPIMap

Individual provider Active NPI

Nancy Kienka, NP

  • Family Nurse Practitioner
  • Midwest City, OK
National Provider Identifier
1316353568
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84132 Issued in OK
Practice address
2801 S Douglas Blvd
Midwest City, OK 73130-7194
Phone
(405) 737-3278
Fax
(405) 737-0240
NPI assigned
Jul 9, 2014
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 84132 OK Primary

Addresses

Primary practice location

2801 S Douglas Blvd
Midwest City, OK 73130-7194

Mailing address

8900 SE 15TH St
Midwest City, OK 73110-8002
Phone (405) 737-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016001310 OK Practitioner - Nurse Practitioner 6305067349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deng Family Medicine Center, PCGroup PAC ID 2466515994, 2 clinicians

Practice addresses (Care Compare)

8900 SE 15TH St
Midwest City, OK 73110-8002
Phone (405) 737-3278

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84132OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deng Family Medicine Center, PC CurrentSince Sep 1, 2014 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2801 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 737-3278

8900 SE 15th St
Oklahoma City, OK 73110
Phone (405) 737-0240

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBDIAA/Endpoint/CBDIAA

Organizations & group practices 2

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 8

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1316353568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108002",
            "telephone_number": "405-737-3278",
            "fax_number": "405-737-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307194",
            "telephone_number": "405-737-3278",
            "fax_number": "405-737-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENKA",
        "first_name": "NANCY",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "84132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.