Active NPI
Nicki Carriere, MSN, FNP-C
- Family Nurse Practitioner
- Ponca City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 97373
- Practice address
- 2720 Homestead N
Ponca City, OK 74604-3222 - Phone
- (580) 304-6298
- NPI assigned
- Aug 20, 2018
- Last updated
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 97373 | OK | Primary |
Addresses
Primary practice location
2720 Homestead N
Ponca City, OK 74604-3222
Mailing address
2720 Homestead N
Ponca City, OK 74604-3222
Phone (580) 304-6298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4140 SE Adams Rd
Suite 110
Bartlesville, OK 74006-8450
Phone (918) 143-2935
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97373 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NR Bartlesville LLC | Current | Accepting new patients | |
| Triad Health Systems LLC | Current | Accepting new patients | |
| Kaw Nation | Current | Accepting new patients | |
| At Home by Choice Inc. | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Choice Home Health, Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
4140 SE Adams Rd
Ste 110
Bartlesville, OK 74006
Phone (918) 936-2991
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
1232 SW 89th St
Ste A
Oklahoma City, OK 73139
Phone (405) 879-3470
3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903
2703 N 14th St
Ponca City, OK 74601
Phone (580) 749-7846
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/21021/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
dba Nerve Renewal Bartlesville
- Physical Medicine & Rehabilitation Physician
- Bartlesville, OK
- NPI 1114769189
-
dba Complete Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Oklahoma City, OK
- NPI 1497170609
-
dba Triad Complete Healthcare
- Family Medicine Physician
- Ponca City, OK
- NPI 1245867258
-
- General Practice Physician
- Chelsea, OK
- NPI 1023942281
-
- Family Medicine Physician
- Chelsea, OK
- NPI 1508791773
-
- Primary Care Nurse Practitioner
- Chelsea, OK
- NPI 1609701960
-
dba Complete Home Health of Oklahoma City
- Home Health Agency
- Oklahoma City, OK
- NPI 1144321597
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1326528266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 HOMESTEAD N",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746043222",
"telephone_number": "580-304-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 HOMESTEAD N",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746043222",
"telephone_number": "580-304-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIERE",
"first_name": "NICKI",
"credential": "MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "97373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.