Active NPI
Mary Claire Carbonell, APRN
- Family Nurse Practitioner
- Nichols Hills, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0100066
- Practice address
- 1121 NW 63Rd St Ste 5001
Nichols Hills, OK 73116-6504 - Phone
- (405) 652-0632
- NPI assigned
- Dec 1, 2020
- Last updated
- Jun 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | R0100066 | OK | Primary |
| Family Nurse Practitioner | 363LF0000X | 1141738 | TX |
Addresses
Primary practice location
1121 NW 63Rd St Ste 5001
Nichols Hills, OK 73116-6504
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Variety Care, Inc.
Practice addresses (Care Compare)
1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325
10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500
111 Forest Dr
Eufaula, OK 74432-4010
Phone (800) 640-9741
1121 NW 63Rd St
Suite 5001
Nichols Hills, OK 73116-6504
Phone (405) 652-0632
1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741
199 Rex Ivey Rd
Terlingua, TX 79852-5060
Phone (432) 300-5175
201 W 1St St
Grandfield, OK 73546-9236
Phone (405) 632-6688
2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256
3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688
301 S Mustang Rd
Yukon, OK 73099-6704
Phone (405) 324-1911
5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770
806 Hwy 2 N
Wilburton, OK 74578-3625
Phone (800) 640-9741
9917 SE 15TH St
Midwest City, OK 73130-5504
Phone (405) 622-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1141738 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Medical Resource Management, LLC | Current | Accepting new patients | |
| Integris Health Allset Urgent Care LLC | Current | Accepting new patients | |
| Variety Care, Inc. | Current | Accepting new patients | |
| The Physicians Group LLC | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Oklahoma, LLC | Family | Current | Accepting new patients |
| Applebaum Physiatry PLLC | Family | Current | Accepting new patients |
| Comprehensive Rehab Consultants PLLC | Family | Current | Accepting new patients |
| Variety Care, Inc. | Current | Accepting new patients | |
| Stigler Health and Wellness Center Inc | Current | Accepting new patients | |
| Mercy Oklahoma Ambulatory Services LLC | Current | Accepting new patients | |
| Variety Care, Inc. | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637
3224 S Broadway
Ste 112
Edmond, OK 73013
Phone (405) 427-4941
1401 N Garland Rd
Enid, OK 73703
Phone (580) 234-2526
1000 S Broadway
Hobart, OK 73651
7521 SE 15th St
Midwest City, OK 73110
Phone (405) 453-8004
1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632
3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155
3075 Classen Blvd
Ste 226
Norman, OK 73071
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
10740 S May Ave
Ste 113
Oklahoma City, OK 73170
Phone (405) 427-4942
1140 N Hudson Ave
Oklahoma City, OK 73103
Phone (405) 272-0660
3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209
5401 N Pennsylvania Ave
Oklahoma City, OK 73112
Phone (405) 427-4944
5725 S Ross Ave
Oklahoma City, OK 73119
Phone (405) 685-4791
6900 NW 122nd St
Ste 105
Oklahoma City, OK 73142
Phone (405) 427-4943
959 SW 107th St
Oklahoma City, OK 73170
Phone (405) 703-3400
1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741
1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
1701 Garth Brooks Blvd
Yukon, OK 73099
Phone (815) 846-0871
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mary.carbonellfnp.p10@direct.nextcare.nextgenshare.com
- mary.carbonellfnp.p8@direct.nextcare.nextgenshare.com
- mcarbonell670224@direct.ochin.org
- mcarbonell728020@direct.ochin.org
Organizations & group practices 14
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 Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
- Federally Qualified Health Center (FQHC)
- Stigler, OK
- NPI 1891752853
-
dba Bravo Health Terlingua
- Primary Care Clinic/Center
- Terlingua, TX
- NPI 1952868952
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1538742051
Family
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
dba Variety Care, Straka
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1780697813
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Family, OK
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Family, OK
-
- Primary Care Clinic/Center
- Marfa, TX
- NPI 1528380854
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1164107256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1457956286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NW 63RD ST STE 5001",
"city": "NICHOLS HILLS",
"state": "OK",
"postal_code": "731166504",
"telephone_number": "405-652-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONELL",
"first_name": "MARY CLAIRE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0100066",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1141738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nichols Hills, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.