Individual provider Active NPI

Sherry Ann Miller, ARNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1508059114
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0053816 Issued in OK
Practice address
1530 NE Grand Blvd
Oklahoma City, OK 73117-5212
Phone
(702) 899-0595
Fax
(702) 977-1496
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 R0053816 OK Primary

Addresses

Primary practice location

1530 NE Grand Blvd
Oklahoma City, OK 73117-5212

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

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
I20080709000522 OK Practitioner - Nurse Practitioner 3678645546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

3804 N Barr Ave
Oklahoma City, OK 73122-2410
Phone (312) 635-0973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0053816OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Apr 23, 2024 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Apr 23, 2024 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Family CurrentSince Jan 23, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients
Peter Lafon, DO, PLLC Past Accepting new patients
Dermatology & Allergy Solutions LLC PastSince May 1, 2020 Accepting new patients

Locations

6912 NW 23rd St
Bethany, OK 73008
Phone (405) 789-7103

39 E 33rd St
Edmond, OK 73013
Phone (405) 341-7715

410 N 30th St
Enid, OK 73701
Phone (580) 237-1973

2400 Whites Meadow Dr
Harrah, OK 73045
Phone (405) 454-6255

1100 Georgia St
Jones, OK 73049
Phone (405) 399-2294

701 S 8th St
McLoud, OK 74851
Phone (405) 964-2961

7521 SE 15th St
Midwest City, OK 73110
Phone (405) 453-8004

3804 N Barr Ave
Oklahoma City, OK 73122
Phone (405) 789-7102

1400 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 875-0040

5301 N Brookline Ave
Oklahoma City, OK 73112
Phone (405) 251-2847

5701 W Britton Rd
Oklahoma City, OK 73132
Phone (405) 773-8900

2900 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 361-2937

3718 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 789-7208

1530 NE Grand Blvd
Oklahoma City, OK 73117
Phone (405) 424-2273

5600 S Walker Ave
Oklahoma City, OK 73109
Phone (405) 632-7771

2416 N Ann Arbor Ave
Oklahoma City, OK 73127
Phone (405) 787-4592

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

6501 N MacArthur Blvd
Warr Acres, OK 73132
Phone (405) 721-0089

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1508059114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 NE GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731175212",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0053816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.