Individual provider Active NPI

Liesl Prather

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1376127860
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8097 Issued in OK
Practice address
1111 W 17TH St
Tulsa, OK 74107-1886
Phone
(918) 582-1972
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 8097 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1111 W 17TH St
Tulsa, OK 74107-1886

Mailing address

1111 W 17TH St
Tulsa, OK 74107-1886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230728002613 OK Practitioner - Emergency Medicine 2365803954 Reassigns benefits to 6 organizations
I20250424003726 TX Practitioner - Emergency Medicine 2365803954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians
Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611

2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone (405) 303-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8097OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Nov 15, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 21, 2025 Accepting new patients
Farmers Union Hospital Association CurrentSince Nov 15, 2023 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 21, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Aug 26, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 1, 2024 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Integris Miami Hospital Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Dept 1467
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • Direct secure messaging: lprather401551@direct-ehr-ssmhc.com

Organizations & group practices 14

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.

View all 14

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1376127860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "918-582-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "LIESL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8097",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.