Kimberly Marie Brown, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Hooker, OK
NPI 1548090103 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1548090103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 219626 (OK)
- Practice address
- 101 Glaydas St
Hooker, OK 73945 - Phone
- (580) 652-1100
- Fax
- (866) 422-1819
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Williams Medical Group Practice, LLC
Practice addresses (Care Compare)
2215 N Hwy 64
Xpress Wellness Urgent Care
Guymon, OK 73942-2750
Phone (580) 754-2280
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218000090 | OK | Practitioner - Nurse Practitioner | 9739616533 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hooker Medical Clinic, LLC | Current |
Accepting new patients | |
| Williams Medical Group Practice, LLC | Current |
Accepting new patients | |
| Williams Medical Group Practice, LLC | Current |
Accepting new patients |
Locations
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
2215 N Highway 64
Guymon, OK 73942
Phone (580) 754-2280
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 219626 | OK | Yes |
Addresses
Primary practice location
101 Glaydas St
Hooker, OK 73945
Mailing address
RR 2 Box 60
Hooker, OK 73945-9640
Phone (580) 461-9112
Other providers in Hooker, OK
- City of Hooker
- Healthcarefinal
- Hooker Medical Clinic, LLC
- Memorial Hospital of Texas County Authority
- Panhandle Counseling & Health Center Inc
All providers in Hooker, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.