Individual provider Active NPI

Keely Rebecca Nunnally, NP-C

  • Family Nurse Practitioner
  • Durant, OK
National Provider Identifier
1356905988
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
93441 Issued in OK
Practice address
2701 W University Blvd
Durant, OK 74701-2997
Phone
(580) 775-4559
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 93441 OK Primary

Addresses

Primary practice location

2701 W University Blvd
Durant, OK 74701-2997

Mailing address

201 Sunnymeadow Dr
Durant, OK 74701-4540
Phone (580) 775-4559

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
I20190703001107 OK Practitioner - Nurse Practitioner 7810221389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Medical Center IncGroup PAC ID 7618953746, 3 clinicians

Practice addresses (Care Compare)

2701 W University Blvd
Durant, OK 74701-2997
Phone (580) 931-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.62 of 100Reported as group
Quality
71.77
Improvement activities
40
Cost
59.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Medical Center Inc Family CurrentSince May 1, 2019 Accepting new patients
Durant Hma LLC Past Accepting new patients

Locations

2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053

Organizations & group practices 2

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 5

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1356905988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SUNNYMEADOW DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014540",
            "telephone_number": "580-775-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012997",
            "telephone_number": "580-775-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNALLY",
        "first_name": "KEELY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "93441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.