Active NPI
Ashley Dawn Payne, APRN
- Family Nurse Practitioner
- Pryor, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 205795
- Practice address
- 9 S Adair St
Pryor, OK 74361-3611 - Phone
- (918) 964-0650
- NPI assigned
- Nov 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10210201 | OK | |
| Family Nurse Practitioner | 363LF0000X | 205795 | OK | Primary |
Addresses
Primary practice location
9 S Adair St
Pryor, OK 74361-3611
Mailing address
11928 S 4243 Rd
Chelsea, OK 74016-3457
Phone (918) 964-0650
Other practice location 1
11426 N 134th East Ave
Owasso, OK 74055-4715
Phone (918) 727-2273
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11426 N 134TH E Ave
Owasso, OK 74055-4715
Phone (918) 727-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205795 | OK | MD | Family Medicine Physician |
| F10210201 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prophylaxis Healthcare LLC | Current | Accepting new patients | |
| Prophylaxis Healthcare LLC | Family Medicine | Current | Accepting new patients |
| Lyla James Aesthetics and Wellness, LLC | Current | Accepting new patients |
Locations
2431 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 333-5233
1407 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 335-2273
11911 S Memorial Dr
Bixby, OK 74008
Phone (918) 497-3700
211 S Mill St
Pryor, OK 74361
Phone (918) 825-3777
9 S Adair St
Pryor, OK 74361
Phone (918) 964-0650
303 E Taft Ave
Ste 3
Sapulpa, OK 74066
Phone (918) 224-2222
220 W 71st St
Ste 2
Tulsa, OK 74132
Phone (918) 584-8522
10802 E 31st St
Ste B
Tulsa, OK 74146
Phone (918) 970-2886
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.
-
- Urgent Care Clinic/Center
- Owasso, OK
- NPI 1982161386
-
- Nurse Practitioner
- Pryor, OK
- NPI 1871446807
-
- Community/Behavioral Health Agency
- Bixby, OK
- NPI 1285438317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1447916697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11928 S 4243 RD",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740163457",
"telephone_number": "918-964-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 S ADAIR ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743613611",
"telephone_number": "918-964-0650"
}
],
"practiceLocations": [
{
"address_1": "11426 N 134th East Ave",
"address_purpose": "LOCATION",
"city": "Owasso",
"state": "OK",
"postal_code": "740554715",
"country_code": "US",
"telephone_number": "918-727-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "ASHLEY",
"middle_name": "DAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "F10210201",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "205795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.