Individual provider Active NPI

Matthew D McGill, APRN-CNS

  • Acute Care Nurse Practitioner
  • Norman, OK
National Provider Identifier
1447543764
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0088831 Issued in OK
Practice address
3500 Healthplex Pkwy
Suite 200
Norman, OK 73072-9738
Phone
(405) 515-2222
Fax
(405) 515-2249
NPI assigned
May 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0088831 OK Primary

Addresses

Primary practice location

3500 Healthplex Pkwy
Suite 200
Norman, OK 73072-9738

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6668

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
I20111201000348 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 5294909263 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0088831OKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Dec 1, 2017 Accepting new patients
Crescent Infectious Diseases PLLC CurrentSince Mar 30, 2020 Accepting new patients
Crescent Post Acute Care PLLC CurrentSince Jan 26, 2023 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

500 E Robinson St
Ste 900
Norman, OK 73071
Phone (405) 321-0199

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

3500 Healthplex Pkwy
Ste 200
Norman, OK 73072
Phone (405) 307-5710

1111 N Lee Ave
Ste 249
Oklahoma City, OK 73103
Phone (214) 937-1387

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1447543764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6668",
            "fax_number": "405-701-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HEALTHPLEX PKWY",
            "address_2": "SUITE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729738",
            "telephone_number": "405-515-2222",
            "fax_number": "405-515-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "0088831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.