William King Wyatt, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0078990 Issued in OK

Practice address

14311 E 126TH St N
Collinsville, OK 74021-4130

Phone

(918) 640-4803

NPI assigned

Apr 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323
• Rural Wellness Fairfax Hospital Hospital, Fairfax, OK, CCN 371318
• The Physicians' Hospital in Anadarko Hospital, Anadarko, OK, CCN 371314
• Rural Wellness Stroud Hospital Hospital, Stroud, OK, CCN 371316

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wwyatt540934@direct-ehr-ssmhc.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701

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.

• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Ehp of Ponca City LLC

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1881419802
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Oklahoma TCS LLC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1043932486
  Medicare reassignment NPD
• Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1528040722
  Medicare reassignment NPD
• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991
  Medicare reassignment NPD
• Rural Wellness Anadarko Inc

  • Medical Specialty Clinic/Center
  • Anadarko, OK
  • NPI 1538825120
  Medicare reassignment NPD
• Rural Wellness Fairfax Inc

  • Critical Access Hospital
  • Fairfax, OK
  • NPI 1295362564
  Medicare reassignment NPD
• Rural Wellness Stroud Inc.

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1932865508
  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724

  Nurse Practitioner

  Medicare reassignment NPD
• Pawhuska Hospital Inc

  • Rural Health Clinic/Center
  • Pawhuska, OK
  • NPI 1871092494
  NPD
• Rural Wellness Anadarko Inc

  • Critical Access Hospital
  • Anadarko, OK
  • NPI 1023774601
  NPD
• Rural Wellness Fairfax Inc

  • Rural Health Clinic/Center
  • Fairfax, OK
  • NPI 1790314466
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rural Wellness Anadarko Inc

  • Critical Access Hospital
  • Anadarko, OK
  • NPI 1023774601
  Care Compare affiliation
• Rural Wellness Fairfax Inc

  • Critical Access Hospital
  • Fairfax, OK
  • NPI 1295362564
  Care Compare affiliation
• Rural Wellness Stroud Inc.

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1932865508
  Care Compare affiliation
• Weatherford Hospital Authority

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1346494275
  Care Compare affiliation
• Weatherford Hospital Authority

  • General Acute Care Hospital
  • Weatherford, OK
  • NPI 1578716502
  Care Compare affiliation
• Weatherford Hospital Authority

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1639175185
  Care Compare affiliation

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1407542293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 E 126TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740214130",
            "telephone_number": "918-640-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14311 E 126TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740214130",
            "telephone_number": "918-640-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "WILLIAM",
        "middle_name": "KING",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "78990",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212533",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0078990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Andrea Walker, APRN-CNP
• Jaime Watkins, APRN-CNP
• Williams Medical Group Practice, LLC
• Andrea Dawn Winton
• Anna Xiong
• Yco Tulsa, Inc
• Yco Yulsa, Inc
• John Eric York, FNP

• Nurse Practitioner in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.