NPIMap

Individual provider Active NPI

Rebecca O'Donnell, CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1356958847
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
96348 Issued in OK
Practice address
3601 NW 138TH St Ste 200
Oklahoma City, OK 73134-2513
Phone
(405) 242-4100
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 96348 OK Primary

Addresses

Primary practice location

3601 NW 138TH St Ste 200
Oklahoma City, OK 73134-2513

Mailing address

3036 Stonybrook Rd
Oklahoma City, OK 73120-5716
Phone (405) 650-0035

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
I20201104001154 OK Practitioner - Nurse Practitioner 6103236096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Pain Management PLLCGroup PAC ID 8123117066, 9 clinicians

Practice addresses (Care Compare)

3601 NW 138TH St
Suite 200
Oklahoma City, OK 73134-2513
Phone (405) 242-4100

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96348OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Pain Management PLLC CurrentSince Oct 15, 2020 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4023 N Flood Ave
Norman, OK 73069
Phone (405) 242-4100

14101 Parkway Commons Dr
Oklahoma City, OK 73134
Phone (405) 749-2700

3601 NW 138th St
Ste 200
Oklahoma City, OK 73134
Phone (405) 242-4100

4409 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 242-4100

1703 Professional Cir
Ste 101
Yukon, OK 73099
Phone (405) 242-4100

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 10

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1356958847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 STONYBROOK RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205716",
            "telephone_number": "405-650-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 138TH ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342513",
            "telephone_number": "405-242-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "REBECCA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "96348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.