Stephane Lynn Judd

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

219036 Issued in OK

Practice address

109 S Main St
Wetumka, OK 74883-4015

Phone

(405) 452-5400

Fax

(405) 452-3000

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephane Lynn Orsini Former name

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Oklahoma Family Health Center, Inc.Group PAC ID 3779643994, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Home Care, Inc Home health agency, Eufaula, OK, CCN 377872
• Hillcrest Hospital Henryetta Hospital, Henryetta, OK, CCN 370183
• SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• East Central Oklahoma Family Health Center, Inc.

  dba East Central Oklahoma Family Health Center, Inc. Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Wetumka, OK
  • NPI 1316196546
  Medicare reassignment Care Compare group NPD
• East Central Oklahoma Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Henryetta, OK
  • NPI 1639636657
  NPD

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

• Ahs Henryetta Hospital LLC

  dba Hillcrest Hospital Henryetta

  • General Acute Care Hospital
  • Henryetta, OK
  • NPI 1720053556
  Care Compare affiliation
• Heritage Home Care Inc

  • Home Health Agency
  • Eufaula, OK
  • NPI 1265132633
  Care Compare affiliation
• St Anthony Shawnee Hospital Inc

  dba St Anthony Shawnee Hospital

  • General Acute Care Hospital
  • Shawnee, OK
  • NPI 1134123193
  Care Compare affiliation

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1407638513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748830236",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748834015",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W Main St",
            "address_purpose": "LOCATION",
            "city": "Henryetta",
            "state": "OK",
            "postal_code": "744374232",
            "country_code": "US",
            "telephone_number": "918-652-9615",
            "fax_number": "918-652-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Wewoka",
            "state": "OK",
            "postal_code": "748842103",
            "country_code": "US",
            "telephone_number": "405-257-5422",
            "fax_number": "405-257-5463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 E Shurden Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Henryetta",
            "state": "OK",
            "postal_code": "744377323",
            "country_code": "US",
            "telephone_number": "918-652-9614",
            "fax_number": "918-652-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "STEPHANE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "219036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANE",
            "last_name": "ORSINI",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• East Central Oklahoma Family Health Center, Inc. (ECO Family Health Center, Mobile Unit)
• East Central Oklahoma Family Health Center, Inc. (East Central Oklahoma Family Health Center, Inc. Pharmacy)
• Steffanee Renee Edwards, NP
• Sandra J Golden, MPH,BHRS
• Rebecca Helms, APRN
• Rachel Lindemann, LPC, LADC
• Maple Place Living Center, LLC (Maple Place)
• Martha B. Cordova RN Arnp PLC (Chosen Healthcare)
• William Mussler, DPH
• Oak Place Living Center, LLC (Oak Place)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.