Individual provider Active NPI

Bridget Suzanne Wyatt, APRN

  • Family Nurse Practitioner
  • Pawhuska, OK
National Provider Identifier
1437658523
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
85851 Issued in OK
Practice address
1109 E 15TH St
Pawhuska, OK 74056-1901
Phone
(918) 287-5151
Fax
(918) 287-5152
NPI assigned
Feb 5, 2018
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 85851 OK Primary

Addresses

Primary practice location

1109 E 15TH St
Pawhuska, OK 74056-1901

Mailing address

1109 E 15TH St
Pawhuska, OK 74056-1901
Phone (918) 287-5151

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
I20181005000125 OK Practitioner - Nurse Practitioner 5991057788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Pawhuska Hospital IncGroup PAC ID 7012906548, 13 clinicians

Practice addresses (Care Compare)

1101 E 15TH St
Pawhuska, OK 74056-1901
Phone (918) 287-3232

1109 E 15TH St
Pawhuska Family Medical Clinic
Pawhuska, OK 74056-1901
Phone (918) 287-5151

2802 Lynn Ave
Pawhuska, OK 74056-2021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85851OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Oct 22, 2018 Accepting new patients
Pawhuska Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Pawhuska Hospital Inc CurrentSince Nov 1, 2024 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

1101 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1109 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701

Organizations & group practices 5

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1437658523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E 15TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740561901",
            "telephone_number": "918-287-5151",
            "fax_number": "918-287-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E 15TH ST",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740561901",
            "telephone_number": "918-287-5151",
            "fax_number": "918-287-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "BRIDGET",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "85851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawhuska, OK

Sources for this page

Verify at the official NPI Registry.