NPIMap

Individual provider Active NPI

Wendy Wilbur

  • Gerontology Nurse Practitioner
  • Purcell, OK
National Provider Identifier
1437648201
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R2170 Issued in OK
Practice address
816 Crown Heights LN
Purcell, OK 73080-9717
Phone
(405) 215-6644
NPI assigned
May 7, 2018
Last updated
Sep 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R2170 OK Primary

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 1

  • Wendy Berry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828002464 OK Practitioner - Nurse Practitioner 5193053114 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 0345638185, 129 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R2170OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ III PC CurrentSince Sep 29, 2025 Accepting new patients
Ennoble HC NJ PC CurrentSince Sep 1, 2024 Accepting new patients
Physician Housecalls LLC CurrentSince Feb 1, 2024 Accepting new patients
Helping Hands Home Care, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Purcell Hometown Clinic PLLC Current Accepting new patients
Ennoble HC NJ II PC CurrentSince Jul 30, 2025 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 (516) 719-5225

101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058

218 W Main St
Purcell, OK 73080
Phone (405) 464-9370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.