Individual provider Active NPI

Michelle Joann McGolden, ARNP

  • Adult Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1407092638
Registry record updated Jan 21, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R0079133 Issued in OK
Practice address
7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458
Phone
(405) 232-0101
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R0079133 OK Primary

Addresses

Primary practice location

7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458

Mailing address

7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458
Phone (405) 232-0101

Other identifiers 1

IdentifierTypeStateIssuer
OK404154OtherOKPTAN

Other names 1

  • Miss Michelle Joann Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
R0079133OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Physicians at Home, Inc PastSince Aug 18, 2014 Accepting new patients
Physicians at Home, Inc. PastSince Dec 17, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1407092638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S MICKEY MANTLE DR",
            "address_2": "SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042458",
            "telephone_number": "405-232-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MICKEY MANTLE DR",
            "address_2": "SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042458",
            "telephone_number": "405-232-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOLDEN",
        "first_name": "MICHELLE",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0079133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OK404154",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ROGERS",
            "middle_name": "JOANN",
            "prefix": "MISS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.