Active NPI
Christie R. Carpenter, APRN-FNP-CNP
- Nurse Practitioner
- Wetumka, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ROO66926
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0066926 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ROO66926 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delphi Healthcare PLLC | Nurse Practitioner | Current | Accepting new patients |
| Aspire Health Management, LLC | Current | Accepting new patients | |
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Medical Resource Management, LLC | Current | Accepting new patients | |
| Coal County General Hospital | Family | Current | Accepting new patients |
| Coal County General Hospital | Current | Accepting new patients | |
| Delphi Hospitalist Services LLC | Current | 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
- ckopidlansky@hiemail.healtheconnections.org
- 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.
-
dba Aspire Health
- General Practice Physician
- Checotah, OK
- NPI 1053984518
-
- Clinic/Center
- Stroud, OK
- NPI 1871663203
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
-
dba Eastern Oklahoma Health Clinic of Atoka
- Family Medicine Physician
- Atoka, OK
- NPI 1639877871
-
dba Mary Hurley Hospital
- Critical Access Hospital Clinic/Center
- Coalgate, OK
- NPI 1750459756
-
dba Atoka County Medical Center
- Critical Access Hospital
- Atoka, OK
- NPI 1508896499
-
dba Mary Hurley Hospital
- Critical Access Hospital
- Coalgate, OK
- NPI 1629077227
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Anthony Shawnee Hospital
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.