Individual provider Active NPI

Mikala Hensley, FNP-C

  • Family Nurse Practitioner
  • Miami, OK
National Provider Identifier
1477367357
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221802 Issued in OK
Practice address
2518 N Main St
Miami, OK 74354-1602
Phone
(918) 540-9077
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221802 OK Primary

Addresses

Primary practice location

2518 N Main St
Miami, OK 74354-1602

Mailing address

581 SE 3Rd St
Adair, OK 74330-2258
Phone (918) 530-1878

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
I20250220004079 OK Practitioner - Nurse Practitioner 7315467354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

2036 S Miller LN
F Xpress Wellness Urgent Care
Catoosa, OK 74015-1539
Phone (918) 739-4552

220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355

2518 N Main St
Xpress Wellness Urgent Care
Miami, OK 74354-1602
Phone (918) 540-9077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Feb 17, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2518 N Main St
Miami, OK 74354
Phone (918) 540-9077

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 2

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1477367357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 SE 3RD ST",
            "city": "ADAIR",
            "state": "OK",
            "postal_code": "743302258",
            "telephone_number": "918-530-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541602",
            "telephone_number": "918-540-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "MIKALA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "221802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.