Individual provider Active NPI

Lauren Wilson, MMS, PA-C

  • Medical Physician Assistant
  • Bethany, OK
National Provider Identifier
1316420086
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2959 Issued in OK
Practice address
6729 NW 39TH Expy
Bethany, OK 73008-2605
Phone
(405) 491-8252
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2959 OK Primary

Addresses

Primary practice location

6729 NW 39TH Expy
Bethany, OK 73008-2605

Mailing address

7430 NE Hawk Drive
Piedmont, OK 73078

Other practice location 1

2824 Classen Blvd
Norman, OK 73071-4059
Phone (405) 701-3563

Other practice location 2

10255 N Pennsylvania Ave
The Village, OK 73120-4117
Phone (405) 749-0800

Other names 1

  • Miss Lauren Anto Former name

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
I20181119002724 OK Practitioner - Physician Assistant 9537413075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Classen Family Practice LLC Medical CurrentSince Oct 1, 2018 Accepting new patients

Locations

2818 Classen Blvd
Norman, OK 73071
Phone (405) 701-7111

2824 Classen Blvd
#100
Norman, OK 73071
Phone (405) 701-3563

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lanto@cfp-ok.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1316420086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 NE HAWK DRIVE",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "73078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082605",
            "telephone_number": "405-491-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2824 Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730714059",
            "country_code": "US",
            "telephone_number": "405-701-3563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10255 N Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "The Village",
            "state": "OK",
            "postal_code": "731204117",
            "country_code": "US",
            "telephone_number": "405-749-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ANTO",
            "prefix": "MISS",
            "credential": "MMS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.