Andrew Ryan Skousen, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0116201 Issued in OK

Practice address

550 W 125TH PL S Ste 200
Glenpool, OK 74033-5026

Phone

(918) 224-7305

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Homestead Allergy LLC

  • Allergy Physician
  • Bristow, OK
  • NPI 1962892224
  NPD (past)

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1356948301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 E 13TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741284221",
            "telephone_number": "405-762-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 125TH PL S STE 200",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740335026",
            "telephone_number": "918-224-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOUSEN",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0116201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowland Counseling Services, LLC
• Saint Francis Health Systems
• Lean Sanders, LPC
• Jennifer Simpson
• SKB Integrated Health Systems
• Felecia C Smith, APRN
• Amy Nicole Sommer, APRN, CPNP-PC
• Stamar Medical PLC
• Taryn M. Starkey
• Keisha Lynnell Stephens, L.P.N.

• Family Nurse Practitioner in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.