Individual provider Active NPI

Crystal Ollie, APN

  • Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1396248381
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
93039 Issued in OK
Practice address
307 N Broadway St
Poteau, OK 74953-3355
Phone
(918) 647-2349
Fax
(918) 647-2358
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 93039 OK Primary

Addresses

Primary practice location

307 N Broadway St
Poteau, OK 74953-3355

Mailing address

210 Oak St Ste 276
Poteau, OK 74953-2339
Phone (918) 647-2349

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
I20180604002256 OK Practitioner - Nurse Practitioner 8426313990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 S Broadway Ave
Suite 2
Poteau, OK 74953-5268
Phone (918) 564-2010

Hospital & facility affiliations

  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ollies Family Healthcare LLC Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Leflore County Hospital Authority CurrentSince Apr 21, 2018 Accepting new patients
Leflore County Hospital Authority Current Accepting new patients
Leflore County Hospital Authority CurrentSince Apr 21, 2018 Accepting new patients
Wise Holdings LLC CurrentSince Jul 15, 2020 Accepting new patients
Leflore County Hospital Authority Past Accepting new patients

Locations

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

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

307 N Broadway St
Poteau, OK 74953
Phone (918) 647-2349

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

210 Oak St
Poteau, OK 74953
Phone (918) 647-2175

1301 S Broadway Ave
Ste 2
Poteau, OK 74953
Phone (918) 564-2010

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1396248381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OAK ST STE 276",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532339",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533355",
            "telephone_number": "918-647-2349",
            "fax_number": "918-647-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIE",
        "first_name": "CRYSTAL",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "93039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.