Individual provider Active NPI

Katie Nicole Burden-Greer

  • Family Medicine Physician
  • Weleetka, OK
National Provider Identifier
1487948915
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30857 Issued in OK
Practice address
202 W Main St
Weleetka, OK 74880
Phone
(918) 650-6010
Fax
(918) 332-9158
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30857 OK Primary

Addresses

Primary practice location

202 W Main St
Weleetka, OK 74880

Mailing address

1921 Stonecipher Blvd
Ada, OK 74820
Phone (580) 436-3980

Other practice location 1

36640 US-270
Wewoka, OK 74884
Phone (405) 257-6282

Other practice location 2

1921 Stonecipher Blvd
Ada, OK 74820
Phone (580) 436-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150109001824 OK Practitioner - Family Practice 3577790120 Reassigns benefits to 1 organization
I20170125001221 TX Practitioner - Family Practice 3577790120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wewoka Indian HealthGroup PAC ID 7517911415, 43 clinicians

Practice addresses (Care Compare)

36640 Hwy 270
Wewoka, OK 74884-4021
Phone (405) 257-6282

Hospital & facility affiliations

  • Lawton Indian Hospital Hospital, Lawton, OK, CCN 370170

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30857OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wewoka Indian Health CurrentSince Jul 22, 2024 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Nov 10, 2014 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 10, 2014 Accepting new patients

Locations

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

36640 Highway 270
Wewoka, OK 74884
Phone (405) 257-6282

36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282

Interoperability endpoints

  • Direct secure messaging: kburdengreer22141@muscogeecreeknation.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1487948915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-436-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W MAIN ST",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "74880",
            "telephone_number": "918-650-6010",
            "fax_number": "918-332-9158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36640 US-270",
            "address_purpose": "LOCATION",
            "city": "Wewoka",
            "state": "OK",
            "postal_code": "74884",
            "country_code": "US",
            "telephone_number": "405-257-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 STONECIPHER BLVD",
            "address_purpose": "LOCATION",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "country_code": "US",
            "telephone_number": "580-436-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDEN-GREER",
        "first_name": "KATIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "30857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weleetka, OK

Sources for this page

Verify at the official NPI Registry.