Active NPI
Amy L Eberle
- Clinical Nurse Specialist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 87638
- Practice address
- 3433 NW 56TH St Ste 400
Oklahoma City, OK 73112-4430 - Phone
- (405) 947-3341
- Fax
- (405) 951-4358
- NPI assigned
- Jan 14, 2019
- Last updated
- Sep 26, 2019
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 87638 | OK | Primary |
Addresses
Primary practice location
3433 NW 56TH St Ste 400
Oklahoma City, OK 73112-4430
Mailing address
5401 N Portland Ave Ste 410
Oklahoma City, OK 73112-2131
Phone (405) 604-4202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87638 | Other | OK | OKLAHOMA LICENSE |
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
- Certified Clinical Nurse Specialist (CNS)
- Education
- University of Oklahoma College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 NE 10TH St
Ouhp Stephenson Cancer Center
Oklahoma City, OK 73104-5418
Phone (405) 271-1112
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87638 | OK | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospital Medicine Associates PC | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Hospitalist Physician
- Grove, OK
- NPI 1124388855
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1457825432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 N PORTLAND AVE STE 410",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122131",
"telephone_number": "405-604-4202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 NW 56TH ST STE 400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124430",
"telephone_number": "405-947-3341",
"fax_number": "405-951-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERLE",
"first_name": "AMY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OK",
"license": "87638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA LICENSE",
"identifier": "87638",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.