Individual provider Active NPI

Stephanie Justus, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Claremore, OK
National Provider Identifier
1417412362
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0132543 Issued in OK
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612003752 OK Practitioner - Nurse Practitioner 2062745698 Reassigns benefits to 2 organizations

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
Pulse Health and Wellness, LLCGroup PAC ID 8820484801, 2 clinicians

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

LicenseStateTypeSpecialty
R0132543OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Aug 1, 2025 Accepting new patients
Pulse Health & Wellness, LLC CurrentSince Jun 29, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.