NPIMap

Individual provider Active NPI

Wanda Sue Choate, APRN, NP-CNP

  • Family Nurse Practitioner
  • Vian, OK
National Provider Identifier
1356896856
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0076255 Issued in OK
Practice address
128 W Main
Vian, OK 74962-0446
Phone
(918) 421-6960
Fax
(918) 421-6963
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 R0076255 OK Primary

Addresses

Primary practice location

128 W Main
Vian, OK 74962-0446

Mailing address

PO Box 446
Vian, OK 74962-0446
Phone (918) 773-5226

Other names 1

  • Wanda Sue Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121001973 OK Practitioner - Nurse Practitioner 4587943279 Reassigns benefits to 2 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
Triton Health PLLCGroup PAC ID 1951623214, 2 clinicians
Triton Health Elder Care LLCGroup PAC ID 4082154927, 2 clinicians

Practice addresses (Care Compare)

128 W Main
Vian, OK 74962-1009
Phone (918) 773-5228

305 N Thornton St
Vian, OK 74962-5088
Phone (818) 773-5228

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0076255OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triton Health Elder Care LLC CurrentSince Jul 1, 2024 Accepting new patients
Triton Health PLLC CurrentSince Oct 28, 2017 Accepting new patients
Ghazi M. Rayan, MD, Inc. Past Accepting new patients
Lawton Urology Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1356896856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749620446",
            "telephone_number": "918-773-5226",
            "fax_number": "918-892-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W MAIN",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749620446",
            "telephone_number": "918-421-6960",
            "fax_number": "918-421-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "credential": "APRN, NP-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0076255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "ROSS",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vian, OK

Sources for this page

Verify at the official NPI Registry.