Marcus Shane Wahl, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

58478 Issued in OK

Practice address

1007 N Country Club Rd
Ada, OK 74820-2847

Phone

(580) 421-8700

Fax

(580) 272-1094

NPI assigned

Oct 14, 2019

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quickcare Aprn-CNP, LLCGroup PAC ID 1658637814, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16230/brand/1/csg/1/fhir/r4

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.

• Quickcare Aprn-CNP, LLC

  • Family Nurse Practitioner
  • Ada, OK
  • NPI 1891222030
  Medicare reassignment Care Compare group NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Family Medicine Physician
  • Pauls Valley, OK
  • NPI 1477101715
  NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Clinic/Center
  • Norman, OK
  • NPI 1881499655
  NPD
• Southern Plains Medical Center Inc

  dba CareFirst Wellness Associates

  • Clinic/Center
  • Chickasha, OK
  • NPI 1962469098
  NPD
• Nemri Medical Services, Inc.

  • Family Medicine Physician
  • Lindsay, OK
  • NPI 1114040219
  NPD (past)

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

• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  dba Mercy Hospital Ada

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  Care Compare affiliation

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1508408311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111",
            "fax_number": "405-825-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N COUNTRY CLUB RD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202847",
            "telephone_number": "580-421-8700",
            "fax_number": "580-272-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Rolling Hills Ln",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748209415",
            "country_code": "US",
            "telephone_number": "580-310-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-224-8111",
            "fax_number": "405-825-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL",
        "first_name": "MARCUS",
        "middle_name": "SHANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "58478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Volino, LPC
• Kalin Paul Vorwaller, DMD
• Robert Luther Waddell, MD
• Jerry Wade
• Chance Wafford, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0231)
• Anthony Wayne Waldroup, MD, MPH
• Walgreen Co (Walgreens #11295)
• Jennifer Walker-Cox, LPC
• Alexis Walker

• Family Nurse Practitioner in Ada, OK
• Providers in Ada, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.