Wendy Wilbur
Individual provider Active NPI Gerontology Nurse Practitioner · Purcell, OK
NPI 1437648201 · NPPES record last updated Sep 14, 2025
Key facts
- NPI
- 1437648201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- R2170 (OK)
- Practice address
- 816 Crown Heights LN
Purcell, OK 73080-9717 - Phone
- (405) 215-6644
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ennoble HC NJ PC
Practice addresses (Care Compare)
218 W Main St
Purcell, OK 73080-4222
Phone (405) 890-1005
3209 S Broadway
Suite 229
Edmond, OK 73013-4064
Phone (551) 295-8223
Hospital & facility affiliations
- Loving Care in-Home Health Services, L.L.C.
- Elara Caring Xxi
- Lifeline Home Health Care, Inc
- Centric Home Health
- Lifespring Home Health
- Norman Regional
- Grady Memorial Hospital
- Arbuckle Memorial Hospital Authority
- Purcell Municipal Hospital
- Memorial Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190828002464 | OK | Practitioner - Nurse Practitioner | 5193053114 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2170 | OK | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ II PC | Current |
Accepting new patients | |
| Helping Hands Home Care, PLLC | Current |
Accepting new patients | |
| Physician Housecalls LLC | Current |
Accepting new patients | |
| Ennoble HC NJ PC | Current |
Accepting new patients | |
| Purcell Hometown Clinic PLLC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current |
Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223
101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058
218 W Main St
Purcell, OK 73080
Phone (405) 890-1005
Interoperability endpoints
- https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R2170 | OK | Yes |
Addresses
Primary practice location
816 Crown Heights LN
Purcell, OK 73080-9717
Mailing address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223
Other practice location 1
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone (551) 295-8223
Other practice location 2
3209 S Broadway Ste 229
Edmond, OK 73013-4064
Phone (551) 295-8223
Other names
- Wendy Berry
NPI Registry JSON
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1437648201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 204",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016211",
"telephone_number": "551-295-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 CROWN HEIGHTS LN",
"city": "PURCELL",
"state": "OK",
"postal_code": "730809717",
"telephone_number": "405-215-6644"
}
],
"practiceLocations": [
{
"address_1": "101 W Hefner Rd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731146631",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3209 S Broadway Ste 229",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730134064",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILBUR",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "R2170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "BERRY",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Purcell, OK
- Warrior Wellness PLLC
- Alan Jay Washington
- Wellness Clinic and Medical Spa LLC
- Heather Wells
- Mallory Whitney
- Bret Wilmon
- Tanya Wilson
All providers in Purcell, OK · Gerontology Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.