Individual provider Active NPI

Cassie Elizabeth Davis, APRN-CNP

  • Family Nurse Practitioner
  • Stillwater, OK
National Provider Identifier
1548616295
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0104685 Issued in OK
Practice address
1815 W 6TH Ave
Stillwater, OK 74074-4202
Phone
(405) 743-7300
Fax
(405) 743-7398
NPI assigned
May 12, 2016
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0104685 OK Primary

Addresses

Primary practice location

1815 W 6TH Ave
Stillwater, OK 74074-4202

Mailing address

1815 W 6TH Ave
Stillwater, OK 74074-4202
Phone (405) 743-7300

Other names 1

  • Cassie Elizabeth Harper Former name

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
I20170126000152 OK Practitioner - Nurse Practitioner 9234411356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Medical Solutions PLLCGroup PAC ID 8921163932, 3 clinicians

Practice addresses (Care Compare)

65 S Saints Blvd
Edmond, OK 73034-3051
Phone (405) 348-2323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0104685OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC CurrentSince Jun 1, 2019 Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 29, 2016 Accepting new patients
Stillwater Medical Center Authority Family CurrentSince Oct 29, 2016 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Oct 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

228 S Bryant Ave
#8
Edmond, OK 73034
Phone (405) 938-1389

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1815 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-7300

Interoperability endpoints

  • Direct secure messaging: cassie.davis.1@16305.direct.athenahealth.com
  • Direct secure messaging: cassie.davis.p1@direct.smc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1548616295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744202",
            "telephone_number": "405-743-7300",
            "fax_number": "405-743-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744202",
            "telephone_number": "405-743-7300",
            "fax_number": "405-743-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CASSIE",
        "middle_name": "ELIZABETH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0104685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "HARPER",
            "middle_name": "ELIZABETH",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.