Active NPI
Stephanie Justus, APRN-CNP, FNP-C
- Family Nurse Practitioner
- Claremore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0132543
- Practice address
- 1124 W Will Rogers Blvd
Claremore, OK 74017-5421 - Phone
- (918) 322-7400
- Fax
- (918) 322-7600
- NPI assigned
- Feb 5, 2019
- Last updated
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0132543 | OK | Primary |
Addresses
Primary practice location
1124 W Will Rogers Blvd
Claremore, OK 74017-5421
Mailing address
1124 W Will Rogers Blvd
Claremore, OK 74017-5421
Phone (918) 322-7400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1124 W Will Rogers Blvd
Claremore, OK 74017-5421
Phone (918) 322-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0132543 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Pulse Health & Wellness, LLC | Current | Accepting new patients |
Locations
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
1124 W Will Rogers Blvd
Claremore, OK 74017
Phone (918) 322-7400
1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940
7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669
4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412
180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
Interoperability endpoints
- https://api.platform.athenahealth.com/24460/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Claremore, OK
- NPI 1427717461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1417412362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175421",
"telephone_number": "918-322-7400",
"fax_number": "918-322-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175421",
"telephone_number": "918-322-7400",
"fax_number": "918-322-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTUS",
"first_name": "STEPHANIE",
"credential": "APRN-CNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0132543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.