Individual provider Active NPI

Shavonne Greeves, APRN, FNP-C

  • Family Nurse Practitioner
  • Stillwater, OK
National Provider Identifier
1497491740
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207900 Issued in OK
Practice address
518 E Lakeview Rd
Stillwater, OK 74075-2825
Phone
(405) 533-8990
NPI assigned
May 10, 2022
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 207900 OK Primary
High-Risk Obstetric Registered Nurse 163WX0002X R0122381 OK

Addresses

Primary practice location

518 E Lakeview Rd
Stillwater, OK 74075-2825

Mailing address

518 E Lakeview Rd
Stillwater, OK 74075-2825
Phone (405) 533-8990

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
I20231108000093 OK Practitioner - Nurse Practitioner 3870940133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

518 E Lakeview Rd
Stillwater, OK 74075-2825
Phone (405) 533-8990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0122381OKMDHigh-Risk Obstetric Registered Nurse
207900OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Sep 24, 2023 Accepting new patients
Stillwater Medical Center Authority Family CurrentSince Sep 24, 2023 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

518 E Lakeview Rd
Stillwater, OK 74075
Phone (405) 533-8990

Interoperability endpoints

  • Direct secure messaging: shavonne.marlatt.p1@direct.smc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1497491740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E LAKEVIEW RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752825",
            "telephone_number": "405-533-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E LAKEVIEW RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752825",
            "telephone_number": "405-533-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEVES",
        "first_name": "SHAVONNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207900",
            "primary": true
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "OK",
            "license": "R0122381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.