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

Last updated

Oct 2, 2020By the provider in NPPES

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

State licenses

Practice roles

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.

• Homestead Allergy LLC

  dba Homestead Allergy

  • 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": []
}

• Saint Francis Health Systems
• Saint Francis Select, LLC (Saint Francis Physical Therapy)
• Lean Sanders, LPC
• Jennifer Simpson
• SKB Integrated Health Systems (Mental Health)
• Felecia C Smith, APRN
• Stamar Medical PLC (Homestead Medical Clinic)
• Jordan Stanley, RN
• 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.