Individual provider Active NPI

Marlee Tosh Robinson

  • Family Nurse Practitioner
  • Mustang, OK
National Provider Identifier
1386146041
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
102596 Issued in OK
Practice address
200 S Castlerock LN
Mustang, OK 73064-4584
Phone
(405) 256-6001
NPI assigned
Mar 8, 2018
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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 102596 OK Primary

Addresses

Primary practice location

200 S Castlerock LN
Mustang, OK 73064-4584

Mailing address

9813 SW 33Rd St
Yukon, OK 73099-3494

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
I20201207002378 OK Practitioner - Nurse Practitioner 0547672073 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cypress Wound Care LLCGroup PAC ID 7315471422, 5 clinicians
Mobile Wound Care LLCGroup PAC ID 4486028685, 29 clinicians

Practice addresses (Care Compare)

1211 N Shartel Ave
Suite 408
Oklahoma City, OK 73103-2400
Phone (405) 835-3428

2424 Springer Dr
Suite 300
Norman, OK 73069-3966
Phone (405) 216-3747

Merit-based Incentive Payment System (MIPS)

Final score
19.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102596OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Care LLC Family CurrentSince Feb 2, 2024 Accepting new patients
Allied Wound Care Specialist PLLC CurrentSince Feb 1, 2022 Accepting new patients
On-Site Wound Center, LLC CurrentSince Jan 5, 2026 Accepting new patients
Cypress Wound Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Mobile Wound Care LLC CurrentSince Feb 2, 2024 Accepting new patients

Locations

301 Lilac Dr
Ste 150
Edmond, OK 73034
Phone (405) 216-3747

2424 Springer Dr
Ste 102
Norman, OK 73069
Phone (405) 216-3747

2424 Springer Dr
Ste 300
Norman, OK 73069
Phone (405) 216-3747

620 24th Ave SW
Norman, OK 73069
Phone (405) 217-9997

1145 W I 240 Service Rd
Ste F100
Oklahoma City, OK 73139
Phone (405) 898-9048

1211 N Shartel Ave
Ste 408
Oklahoma City, OK 73103
Phone (405) 835-3428

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1386146041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9813 SW 33RD ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644584",
            "telephone_number": "405-256-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARLEE",
        "middle_name": "TOSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "102596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.