John Ross Williamson, APRN, NP-C
Individual provider Active NPI Nurse Practitioner · Cordell, OK
NPI 1386050441 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1386050441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 102511 (OK)
- Practice address
- 1220 N Glenn English St
Cordell, OK 73632-2010 - Phone
- (580) 832-3339
- NPI assigned
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinton Hospital Authority
Midwest Hospital Medicine Associates PC
Emergency Physicians of Mid-America PC
Practice addresses (Care Compare)
100 N 30TH St
Clinton, OK 73601-3117
Phone (580) 574-5128
1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800
3701 E Main St
Weatherford, OK 73096-3309
Phone (580) 772-5551
Hospital & facility affiliations
- Clinton Regional Hospital
- Cordell Memorial Hospital
- Clinton Regional Hospital
- Community Hospital, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141218001916 | OK | Practitioner - Nurse Practitioner | 9234452418 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102511 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cordell Memorial Hospital 0189 | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Nurse Practitioner | Current |
Accepting new patients |
| Clinton Hospital Authority | Current |
Accepting new patients | |
| Southern Plains Medical Center of Garvin County LLC | Current |
Accepting new patients | |
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Community Hospital LLC | Current |
Accepting new patients | |
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Emergency Services of Oklahoma PC | Nurse Practitioner | Current |
Accepting new patients |
| Southern Plains Medical Center of Garvin County LLC | Current |
Accepting new patients | |
| Rural Wellness Fairfax Inc | Current |
Accepting new patients | |
| Clinton Hospital Authority | Current |
Accepting new patients | |
| Rha Stroud Inc | Current | Accepting new patients | |
| Rural Wellness Anadarko Inc | Current |
Accepting new patients | |
| Rural Wellness Fairfax Inc | Current |
Accepting new patients | |
| Rural Wellness Anadarko Inc | Current |
Accepting new patients | |
| Community Hospital LLC | Current | Accepting new patients | |
| Cordell Memorial Hospital 0189 | Past | Accepting new patients | |
| Cordell Memorial Hospital 0189 | Past | Accepting new patients |
Locations
1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551
2222 W Iowa Ave
Chickasha, OK 73018
100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363
1220 N Glenn L English St
Cordell, OK 73632
Phone (580) 832-3339
3345 Territory Ln
El Reno, OK 73036
Phone (405) 252-3550
40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827
18961 NE 23rd St
Harrah, OK 73045
Phone (405) 390-1800
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Dept 960617
Oklahoma City, OK 73196
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
6201 N Santa Fe Ave
Ste 1010
Oklahoma City, OK 73118
Phone (405) 772-8687
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501
999 Hospital Dr
Purcell, OK 73080
Phone (405) 803-5010
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Interoperability endpoints
- johnwilliamson@rwhstroud.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 102511 | OK | Yes |
Addresses
Primary practice location
1220 N Glenn English St
Cordell, OK 73632-2010
Mailing address
12008 Cantle Rd
Oklahoma City, OK 73120-8028
Phone (405) 255-9056
Other providers in Cordell, OK
- Kelsey Schones
- Dandi Deleah Sipes
- Ronnie Colman Smith
- Southwest Orthopaedic Specialists, PLLC
- Michael D Stowers
- Elizabeth Arielle Worley
- Yco Clinton, Inc
- Yco Tulsa, Inc
All providers in Cordell, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.