Individual provider Active NPI

Rachel Michelle Place, APRN-FNP

  • Family Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1376182816
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77577 Issued in OK
Practice address
204 Wall St Ste a
Poteau, OK 74953-4400
Phone
(918) 647-2155
Fax
(918) 647-4095
NPI assigned
Jan 2, 2020
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 77577 OK Primary

Addresses

Primary practice location

204 Wall St Ste a
Poteau, OK 74953-4400

Mailing address

500 S Broadway St
Ste D
Poteau, OK 74953-3819
Phone (918) 564-2270

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
I20200409002182 OK Practitioner - Nurse Practitioner 3870922065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Suite 689
Poteau, OK 74953

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77577OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leflore County Hospital Authority Current Accepting new patients
Leflore County Hospital Authority CurrentSince Jun 11, 2021 Accepting new patients
Leflore County Hospital Authority CurrentSince Jun 11, 2021 Accepting new patients
Advanced Wound Therapy CurrentSince Feb 8, 2025 Accepting new patients
Leflore County Hospital Authority Past Accepting new patients

Locations

304 Highway 59 N
Heavener, OK 74937
Phone (918) 653-2918

1013 Dewey Ave
Poteau, OK 74953
Phone (918) 647-2929

104 Wall St
Poteau, OK 74953
Phone (918) 635-3578

204 Wall St
Ste A
Poteau, OK 74953
Phone (918) 647-2155

2488 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 803-1190

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1376182816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BROADWAY ST",
            "address_2": "STE D",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533819",
            "telephone_number": "918-564-2270",
            "fax_number": "877-210-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WALL ST STE A",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534400",
            "telephone_number": "918-647-2155",
            "fax_number": "918-647-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACE",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.