Individual provider Active NPI

Stefanie Ellen Rollins, NP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1467780874
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
64754 Issued in OK
Practice address
750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone
(405) 235-0040
Fax
(405) 272-4028
NPI assigned
Nov 23, 2009
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 64754 OK Primary

Addresses

Primary practice location

750 NE 13TH St
Oklahoma City, OK 73104-5010

Mailing address

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone (405) 235-0040

Other identifiers 1

IdentifierTypeStateIssuer
200270100AMedicaidOK

Other names 1

  • Stefanie Ellen Estes Former name

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
I20100512000958 OK Practitioner - Nurse Practitioner 5597893503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Oklahoma College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Allergy and Asthma ClinicGroup PAC ID 5294710927, 12 clinicians

Practice addresses (Care Compare)

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone 4052350040315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Allergy & Asthma Clinic CurrentSince Sep 29, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Oklahoma Sports and Orthopedics Institute PLLC Past Accepting new patients

Locations

3560 S Boulevard
Ste 150
Edmond, OK 73013

3580 Rc Luttrell Dr
Ste 100
Norman, OK 73072
Phone 4052350040315

750 NE 13th St
Oklahoma City, OK 73104
Phone (405) 235-0040

750 NE 13th St
Fl 3
Oklahoma City, OK 73104
Phone (405) 235-0040

750 NE 13th St
Ste 300
Oklahoma City, OK 73104

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71186
  • Direct secure messaging: stefanie.rollins@oklahomaallergy.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1467780874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-235-0040",
            "fax_number": "405-272-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-235-0040",
            "fax_number": "405-272-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "STEFANIE",
        "middle_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "64754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "ESTES",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.