Individual provider Active NPI

Russell Ryan Rooms, ARNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1316982887
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0071424 Issued in OK
Practice address
1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425
Phone
(405) 848-0026
Fax
(800) 490-9811
NPI assigned
Jun 18, 2006
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0071424 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425

Mailing address

1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

Other names 1

  • Rusty Rooms Other 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
I20060807000385 OK Practitioner - Nurse Practitioner 6406859768 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Partners PLLCGroup PAC ID 2264869940, 3 clinicians

Practice addresses (Care Compare)

1211 N Shartel Ave
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

500 S University Ave
Suite 711
Little Rock, AR 72205-5309
Phone (501) 837-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0071424OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC CurrentSince Aug 24, 2014 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Mar 1, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Pinnacle Health Partners PLLC Current Accepting new patients
Community Nursing Center of Oklahoma City, LLC CurrentSince Mar 1, 2018 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Mar 1, 2020 Accepting new patients
Community Nursing Center of Oklahoma City, LLC CurrentSince Mar 1, 2018 Accepting new patients
Pinnacle Health Partners PLLC CurrentSince May 1, 2023 Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Community Nursing Center of Okc, LLC Past Accepting new patients

Locations

500 S University Ave
Ste 711
Little Rock, AR 72205
Phone (501) 663-6391

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

1211 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 235-8008

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103
Phone (405) 367-7824

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1822 E 15th St
Tulsa, OK 74104
Phone (405) 848-0026

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1316982887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-848-0026",
            "fax_number": "800-490-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-848-0026",
            "fax_number": "800-490-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOMS",
        "first_name": "RUSSELL",
        "middle_name": "RYAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0071424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSTY",
            "last_name": "ROOMS",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.