NPIMap

Individual provider Active NPI

Brenna Nicole Stanley

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1538946751
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215160 Issued in OK
Practice address
5915 W Memorial Rd Ste 110
Oklahoma City, OK 73142-2022
Phone
(405) 773-6665
Fax
(405) 773-6671
NPI assigned
Sep 11, 2023
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 215160 OK Primary

Addresses

Primary practice location

5915 W Memorial Rd Ste 110
Oklahoma City, OK 73142-2022

Mailing address

5915 W Memorial Rd Ste 110
Oklahoma City, OK 73142-2022
Phone (405) 773-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000236 OK Practitioner - Nurse Practitioner 2961853833 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
Telehealth
Offers telehealth services
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

5915 W Memorial Rd
300 Integris Fam Care Mem W
Oklahoma City, OK 73142-2022
Phone (405) 773-6470

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Jan 28, 2024 Accepting new patients
Integris Ambulatory Care C Orporation Family Medicine Past Accepting new patients

Locations

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5915 W Memorial Rd
Ste 300
Oklahoma City, OK 73142
Phone (405) 773-6470

Interoperability endpoints

  • Direct secure messaging: bstanley11358@direct.integrisok.com

Organizations & group practices 2

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 8

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1538946751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 W MEMORIAL RD STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422022",
            "telephone_number": "405-773-6665",
            "fax_number": "405-773-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 W MEMORIAL RD STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422022",
            "telephone_number": "405-773-6665",
            "fax_number": "405-773-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "BRENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "215160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.