Active NPI
Marlana Marie Travis, DNP APRN
- Family Nurse Practitioner
- Moore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202195
- Practice address
- 700 S Telephone Rd
Moore, OK 73160-2550 - Phone
- (405) 793-9355
- NPI assigned
- May 5, 2021
- Last updated
- Jun 18, 2021
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 202195 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Groves Enterprises PLLC | Family | Current | Accepting new patients |
| Healthcare Express, LLP | Current | Accepting new patients | |
| GDN LLC | Current | Accepting new patients | |
| Advance Physicians Group | Current | Accepting new patients | |
| Healthcare Express, LLP | Current | Accepting new patients | |
| NR Shawnee, LLC | Current | 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.
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1639574130
-
dba Nerve Renewal Shawnee
- Physical Medicine & Rehabilitation Physician
- Shawnee, OK
- NPI 1922861004
-
dba First Med Urgent Care
- Urgent Care Clinic/Center
- Shawnee, OK
- NPI 1750395448
-
dba Integrity Urgent Care
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
dba Integrity Urgent Care
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
dba Healthcare Express
- Physical Therapy Clinic/Center
- Texarkana, TX
- NPI 1881101996
-
- Family Medicine Physician
- Wake Village, TX
- NPI 1790920593
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.