Individual provider Active NPI

Carley Abbott Nitschmann, APRN-CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1346914041
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204870 Issued in OK
Practice address
2007 N Commerce St Ste 246
Ardmore, OK 73401-1394
Phone
(580) 226-3003
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 204870 OK Primary

Addresses

Primary practice location

2007 N Commerce St Ste 246
Ardmore, OK 73401-1394

Mailing address

2007 N Commerce St Ste 246
Ardmore, OK 73401-1394
Phone (580) 226-3003

Other names 1

  • Carley Marie Abbott 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
I20211201002599 OK Practitioner - Nurse Practitioner 9032509203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1020 N Commerce St
Mercy Clinic Primary Care Commerce
Ardmore, OK 73401-3920
Phone (580) 223-5311

Hospital & facility affiliations

  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Women'S Care LLC CurrentSince Aug 8, 2021 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Nov 1, 2021 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Aug 8, 2021 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

1020 N Commerce St
Ardmore, OK 73401
Phone (580) 223-5311

2007 N Commerce St
Ste 246
Ardmore, OK 73401
Phone (580) 226-3003

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

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1346914041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N COMMERCE ST STE 246",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011394",
            "telephone_number": "580-226-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N COMMERCE ST STE 246",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011394",
            "telephone_number": "580-226-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCHMANN",
        "first_name": "CARLEY",
        "middle_name": "ABBOTT",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEY",
            "last_name": "ABBOTT",
            "middle_name": "MARIE",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.