Individual provider Active NPI

Ashley Dawn Payne, APRN

  • Family Nurse Practitioner
  • Pryor, OK
National Provider Identifier
1447916697
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205795 Issued in OK
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

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110002623 OK Practitioner - Nurse Practitioner 3072905751 Reassigns benefits to 2 organizations

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
On Demand Urgent Care, LLCGroup PAC ID 9234565110, 6 clinicians

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

LicenseStateTypeSpecialty
205795OKMDFamily Medicine Physician
F10210201OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prophylaxis Healthcare LLC CurrentSince Dec 27, 2021 Accepting new patients
Prophylaxis Healthcare LLC Family Medicine CurrentSince Dec 27, 2021 Accepting new patients
Lyla James Aesthetics and Wellness, LLC CurrentSince Nov 16, 2021 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.

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

Verify at the official NPI Registry.