Individual provider Active NPI

Caysie N Garza, APRN FNP-C LLC

  • Family Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1497138994
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
93131 Issued in OK
Practice address
4200 W Okmulgee St
Muskogee, OK 74401-4646
Phone
(918) 683-5025
Fax
(918) 683-2618
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 93131 OK Primary

Addresses

Primary practice location

4200 W Okmulgee St
Muskogee, OK 74401-4646

Mailing address

4200 W Okmulgee St
Muskogee, OK 74401-4646
Phone (918) 683-5025

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
I20150827002713 OK Practitioner - Nurse Practitioner 7517273154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Internal Medicine Care PCGroup PAC ID 2860718905, 2 clinicians

Practice addresses (Care Compare)

3900 W Broadway
Muskogee, OK 74401-2145
Phone (918) 682-8612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
93131OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Internal Medicine Care PC CurrentSince Dec 20, 2021 Accepting new patients
Advanced Urology and Wellness Center of Muskogee PLLC CurrentSince Mar 4, 2019 Accepting new patients

Locations

3900 W Broadway St
Muskogee, OK 74401
Phone (918) 682-8612

4200 W Okmulgee St
Muskogee, OK 74401
Phone (918) 683-5025

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.

Hospital & facility affiliations 1

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1497138994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014646",
            "telephone_number": "918-683-5025",
            "fax_number": "918-683-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014646",
            "telephone_number": "918-683-5025",
            "fax_number": "918-683-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "CAYSIE",
        "middle_name": "N",
        "credential": "APRN FNP-C LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "93131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.