Procare Healing Centers, LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

PROCARE HEALING CENTERS, LLC

Practice address

3501 W Broadway St
Muskogee, OK 74401-2138

Phone

(866) 306-4461

Fax

(405) 300-1336

NPI assigned

Jun 6, 2024

Last updated

Jun 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trenton Stillwell

Title

President

Phone

(866) 306-4461

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Johnson, APRN

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1912546144
  Medicare reassignment NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1437991908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "866-306-4461",
            "fax_number": "405-300-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "866-306-4461",
            "fax_number": "405-300-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HEALING CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-306-4461"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Hearing AIDS LLC
• Premier Pediatric and Adolescent Care
• Premier Vision Center, PLLC
• Dianne Linette Presley, RN
• Mercedes Prewitt
• Prominent Toxicology Screenings LLC
• Providence Physician Group Inc
• Christen Eve Pruet
• Preston Lowell Pruett, FNP-C
• Amber Nicole Pruitt, RDH

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.