Individual provider Active NPI

Phillip Craig Hatley, APRN, CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1407448988
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200220 Issued in OK
Practice address
908 N Rockford Rd
Ardmore, OK 73401-2540
Phone
(580) 223-0447
Fax
(580) 223-2989
NPI assigned
Feb 6, 2021
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 200220 OK Primary

Addresses

Primary practice location

908 N Rockford Rd
Ardmore, OK 73401-2540

Mailing address

306 Hidden Path
Ardmore, OK 73401-5576
Phone (580) 504-5467

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
I20210301000257 OK Practitioner - Nurse Practitioner 1254746142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

921 14TH Ave NW
Ardmore, OK 73401-1837
Phone (580) 223-5311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200220OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baha Al Deen Abuesheh MD PC CurrentSince May 24, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 9, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 9, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 19, 2021 Accepting new patients
Urgent Care Center of Ardmore Inc CurrentSince Mar 30, 2025 Accepting new patients
Integrated Medical Incorporated CurrentSince Jan 20, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients
Integrated Medical Incorporated PastSince Apr 6, 2025 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

1675 12th Ave NW
Ardmore, OK 73401
Phone (580) 798-0234

908 N Rockford Rd
Ardmore, OK 73401
Phone (580) 223-0447

921 14th Ave NW
Ardmore, OK 73401
Phone (580) 223-5311

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

11101 Hefner Pointe Dr
Ste 105
Oklahoma City, OK 73120
Phone (405) 604-4936

200 W Britton Rd
Oklahoma City, OK 73114
Phone (405) 755-8000

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 9

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 1

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": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1407448988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HIDDEN PATH",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015576",
            "telephone_number": "580-504-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-223-0447",
            "fax_number": "580-223-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLEY",
        "first_name": "PHILLIP",
        "middle_name": "CRAIG",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.