Individual provider Active NPI

Robert Ellis Satterlee Jr., FNP-BC

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1336770601
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0098041 Issued in OK
Practice address
11900 NW Expressway
Yukon, OK 73099-8795
Phone
(405) 283-9300
Fax
(405) 283-9301
NPI assigned
Jan 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X C-APN.0001870-C-NP CO
Family Nurse Practitioner 363LF0000X R0098041 OK Primary

Addresses

Primary practice location

11900 NW Expressway
Yukon, OK 73099-8795

Mailing address

11900 NW Expressway
Yukon, OK 73099-8795
Phone (405) 283-9300

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
I20220616001028 OK Practitioner - Nurse Practitioner 3274964101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

11900 NW Expressway
Yukon, OK 73099-8795
Phone (405) 283-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0098041OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Aug 29, 2022 Accepting new patients
Mercy Hospital Logan County Inc Multi-Specialty Current Accepting new patients
Mercy Clinic Oklahoma Communities Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients

Locations

400 S Grand St
Crescent, OK 73028
Phone (405) 282-6700

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

11900 NW Expressway
Yukon, OK 73099
Phone (405) 283-9300

Organizations & group practices 3

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1336770601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 NW EXPRESSWAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998795",
            "telephone_number": "405-283-9300",
            "fax_number": "405-283-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 NW EXPRESSWAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998795",
            "telephone_number": "405-283-9300",
            "fax_number": "405-283-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERLEE",
        "first_name": "ROBERT",
        "middle_name": "ELLIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001870-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0098041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.