Individual provider Active NPI

Marlana Marie Travis, DNP APRN

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1487238531
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202195 Issued in OK
Practice address
700 S Telephone Rd
Moore, OK 73160-2550
Phone
(405) 793-9355
NPI assigned
May 5, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 202195 OK Primary

Addresses

Primary practice location

700 S Telephone Rd
Moore, OK 73160-2550

Mailing address

769 W Prairie Way
Mustang, OK 73064-2754
Phone (405) 550-6149

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
I20210624000741 OK Practitioner - Nurse Practitioner 0941601256 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians
NR Shawnee LLCGroup PAC ID 8224476171, 7 clinicians

Practice addresses (Care Compare)

1701 S Douglas Blvd
Midwest City, OK 73130-6221
Phone (405) 302-8999

3700 N Kickapoo Ave
Suite 116
Shawnee, OK 74804-0007
Phone (405) 551-8103

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202195OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2023 Accepting new patients
Groves Enterprises PLLC Family CurrentSince Apr 1, 2022 Accepting new patients
Healthcare Express, LLP CurrentSince May 1, 2024 Accepting new patients
GDN LLC CurrentSince Jun 21, 2021 Accepting new patients
Advance Physicians Group CurrentSince Jul 1, 2021 Accepting new patients
Healthcare Express, LLP CurrentSince May 1, 2024 Accepting new patients
NR Shawnee, LLC CurrentSince Jan 26, 2026 Accepting new patients
Healthcare Express, LLP Past Accepting new patients

Locations

1120 N Highway 81
Duncan, OK 73533
Phone (580) 606-6201

1315 Chisholm Trail Pkwy
Duncan, OK 73533
Phone (580) 574-3630

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

6744 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-9355

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

7807 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 636-0767

3700 N Kickapoo Ave
Ste 116
Shawnee, OK 74804
Phone (405) 275-6747

1029 E Vandament Ave
Yukon, OK 73099
Phone (405) 350-4300

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 9

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1487238531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 W PRAIRIE WAY",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730642754",
            "telephone_number": "405-550-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602550",
            "telephone_number": "405-793-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "MARLANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-06-18",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.