Individual provider Active NPI

Charity Bradshaw

  • Adult Health Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1538940432
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
215457 Issued in OK
Practice address
1710 W 3Rd St Ste 101
Elk City, OK 73644-5160
Phone
(505) 225-8600
Fax
(855) 583-1074
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 215457 OK
Adult Health Nurse Practitioner 363LA2200X 215457 OK Primary

Addresses

Primary practice location

1710 W 3Rd St Ste 101
Elk City, OK 73644-5160

Mailing address

1710 W 3Rd St Ste 101
Elk City, OK 73644-5160
Phone (505) 225-8600

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
I20240304001109 OK Practitioner - Nurse Practitioner 2365887163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1710 W 3Rd St
Suite 101
Elk City, OK 73644-5160
Phone (580) 225-8600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Oklahoma Wellness LLC CurrentSince Jan 5, 2024 Accepting new patients

Locations

1710 W 3rd St
Ste 101
Elk City, OK 73644
Phone (580) 225-3781

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFDBDD

Organizations & group practices 1

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 4

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1538940432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "505-225-8600",
            "fax_number": "855-583-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "505-225-8600",
            "fax_number": "855-583-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "CHARITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "215457",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "215457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.