Individual provider Active NPI

Christie R. Carpenter, APRN-FNP-CNP

  • Nurse Practitioner
  • Wetumka, OK
National Provider Identifier
1447622733
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ROO66926 Issued in OK
Practice address
109 South Main Street
Wetumka, OK 74883
Phone
(405) 452-5400
Fax
(405) 452-3000
NPI assigned
Oct 26, 2015
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ROO66926 OK Primary

Addresses

Primary practice location

109 South Main Street
Wetumka, OK 74883

Mailing address

1668 W Liberty Rd
Atoka, OK 74525-1703
Phone (580) 889-3355

Other practice location 1

224 E 2nd St
Dumas, TX 79029-3808
Phone (806) 935-7171 ext. 1824

Other practice location 2

7785 N State St Fl 3
Lowville, NY 13367-1229
Phone (315) 376-5287

Other identifiers 1

IdentifierTypeStateIssuer
R0066926MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151210000899 OK Practitioner - Nurse Practitioner 3476854787 Reassigns benefits to 4 organizations
I20200504000428 NY Practitioner - Nurse Practitioner 3476854787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Health Management LLCGroup PAC ID 6305235565, 12 clinicians
Sac and Fox NationGroup PAC ID 2668361379, 14 clinicians

Practice addresses (Care Compare)

1103 W Cherokee St
Wagoner, OK 74467-4621
Phone (918) 410-0200

213 N Broadway St
Checotah, OK 74426-2431
Phone (918) 401-0200

356110 E 930 Rd
Stroud, OK 74079-5184
Phone 91896895313035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ROO66926OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Aspire Health Management, LLC CurrentSince Jul 15, 2025 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Apr 19, 2025 Accepting new patients
Medical Resource Management, LLC CurrentSince Apr 19, 2025 Accepting new patients
Coal County General Hospital Family CurrentSince Jul 1, 2024 Accepting new patients
Coal County General Hospital CurrentSince Jul 1, 2024 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Jul 1, 2020 Accepting new patients
Atoka County Healthcare Authority Past Accepting new patients
Coal County General Hospital Past Accepting new patients

Locations

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

7785 N State St
Fl 3
Lowville, NY 13367
Phone (315) 376-5287

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

1668 W Liberty Rd
Atoka, OK 74525
Phone (580) 326-6423

213 N Broadway St
Checotah, OK 74426
Phone (918) 401-0200

6 N Covington St
Coalgate, OK 74538
Phone (580) 927-2327

1011 N Hinckley St
Holdenville, OK 74848
Phone (405) 592-3500

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • Direct secure messaging: ckopidlansky@hiemail.healtheconnections.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 1

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1447622733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W LIBERTY RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745251703",
            "telephone_number": "580-889-3355",
            "fax_number": "580-889-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SOUTH MAIN STREET",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "74883",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Dumas",
            "state": "TX",
            "postal_code": "790293808",
            "country_code": "US",
            "telephone_number": "806-935-7171 x1824",
            "fax_number": "806-934-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7785 N State St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lowville",
            "state": "NY",
            "postal_code": "133671229",
            "country_code": "US",
            "telephone_number": "315-376-5287",
            "fax_number": "315-637-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHRISTIE",
        "middle_name": "R.",
        "credential": "APRN-FNP-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "ROO66926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R0066926",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumka, OK

Sources for this page

Verify at the official NPI Registry.