Individual provider Active NPI

Nicki Carriere, MSN, FNP-C

  • Family Nurse Practitioner
  • Ponca City, OK
National Provider Identifier
1326528266
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
97373 Issued in OK
Practice address
2720 Homestead N
Ponca City, OK 74604-3222
Phone
(580) 304-6298
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 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, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210811000012 TX Practitioner - Nurse Practitioner 8628472834 Reassigns benefits to 1 organization
I20230814001789 OK Practitioner - Nurse Practitioner 8628472834 Reassigns benefits to 4 organizations

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
NR Bartlesville LLCGroup PAC ID 9830620665, 2 clinicians

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

LicenseStateTypeSpecialty
97373OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NR Bartlesville LLC CurrentSince Feb 17, 2025 Accepting new patients
Triad Health Systems LLC CurrentSince Jun 18, 2023 Accepting new patients
Kaw Nation CurrentSince May 4, 2021 Accepting new patients
At Home by Choice Inc. CurrentSince Jun 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jun 15, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.