Luz Mariel Hidalgo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

210921 Issued in OK

Practice address

7313 S Western Ave
Oklahoma City, OK 73139-2007

Phone

(405) 251-8884

NPI assigned

Apr 7, 2010

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Archwell Health Professional Services of Oklahoma LLCGroup PAC ID 6608272638, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Archwell Health Professional Services of Oklahoma, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1457934895
  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of Oklahoma, LLC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1538742051

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1518283159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392007",
            "telephone_number": "405-251-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 SW 59th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731197025",
            "country_code": "US",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461908",
            "country_code": "US",
            "telephone_number": "918-400-7002",
            "fax_number": "539-202-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731113328",
            "country_code": "US",
            "telephone_number": "405-453-8000",
            "fax_number": "405-561-4984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731105425",
            "country_code": "US",
            "telephone_number": "405-453-8004",
            "fax_number": "405-561-4857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1538 N Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741102535",
            "country_code": "US",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731095610",
            "country_code": "US",
            "telephone_number": "405-236-0701 x104",
            "fax_number": "405-236-0773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Straka Ter",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731392544",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "LUZ",
        "middle_name": "MARIEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnelle Hicks
• Sue Bruner Hicks, MSW, LCSW
• Johnny D Hickson III, M.D.
• Nicole Ogle Hickson, M.D.
• Jeaneth Rocio Hidalgo de Rangel, APRN
• Kenneth A. Hieke, M.D.
• Shawne Higashi, MD
• Lauren Jane Higdon, MS OTRL
• Iayisha Renea Higginbotham
• Sarah Marie Higginbotham

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, 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 Aug 1, 2024; 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.