Individual provider Active NPI

Mary Rachel Overturff, NP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1447722467
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115993 Issued in OK
Practice address
1601 SW 89TH St Ste D200
Oklahoma City, OK 73159-6383
Phone
(405) 708-4498
NPI assigned
Jan 2, 2019
Last updated
Sep 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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 115993 OK Primary

Addresses

Primary practice location

1601 SW 89TH St Ste D200
Oklahoma City, OK 73159-6383

Mailing address

1601 SW 89TH St Ste D200
Oklahoma City, OK 73159-6383
Phone (405) 708-4498

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
I20190402000683 OK Practitioner - Nurse Practitioner 0840531828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gideon Family Care LLCGroup PAC ID 9032516976, 2 clinicians

Practice addresses (Care Compare)

1601 SW 89TH St
Suite D200
Oklahoma City, OK 73159-6383
Phone (405) 708-4498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115993OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gideon Family Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Brandi Kammerer PLLC Family CurrentSince Feb 3, 2019 Accepting new patients
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC Past Accepting new patients

Locations

1601 SW 89th St
Ste D200
Oklahoma City, OK 73159
Phone (405) 601-3660

2716 SW 44th St
Oklahoma City, OK 73119
Phone (405) 682-0801

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1447722467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST STE D200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596383",
            "telephone_number": "405-708-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST STE D200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596383",
            "telephone_number": "405-708-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTURFF",
        "first_name": "MARY",
        "middle_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "115993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.