Active NPI
Kenna Sue Wenthold, ARNP
- Family Nurse Practitioner
- Kingfisher, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0078613
- Practice address
- 1000 Hospital Cir
Kingfisher, OK 73750 - Phone
- (405) 375-7847
- Fax
- (405) 375-7849
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
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.
-
- General Practice Physician
- Carnegie, OK
- NPI 1275657017
OK
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Kingfisher, IncMercy Hospital Logan County, IncMercy Hospital Healdton Inc
Practice addresses (Care Compare)
1000 Hospital Dr
Kingfisher, OK 73750-5029
Phone (405) 375-3141
200 S Academy Rd
Guthrie, OK 73044-8727
Phone (405) 282-6700
3462 Hospital Rd
Healdton, OK 73438-6124
Phone (580) 229-0701
Hospital & facility affiliations
- Mercy Hospital Healdton, Inc.
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091118000500 | OK | Practitioner - Nurse Practitioner | 0042358657 | Reassigns benefits to 14 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0078613 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospitalist Group PLLC | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Carnegie Tri-County Municipal Hospital Management, Inc | Current | Accepting new patients | |
| Mercy Hospital Healdton, Inc. | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mangum City Hospital Authority | Current | Accepting new patients | |
| Carnegie Tri-County Municipal Hospital Management, Inc. | Current | Accepting new patients | |
| Optimum Care Hospitalist Group PLLC | Current | Accepting new patients | |
| Mercy Hospital Watonga Inc | Current | Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Mangum City Hospital Authority | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc. | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc | Current | Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc. | Current | Accepting new patients | |
| Mercy Hospital Healdton, Inc | Current | Accepting new patients | |
| Mercy Hospital Healdton, Inc. | Current | Accepting new patients | |
| Community Hospital LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Zuhdi Transplant Physicians | Past | Accepting new patients |
Locations
102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701
1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141
1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353
118 S Louis Tittle Ave
Mangum, OK 73554
Phone (580) 782-2000
1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099
1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327
500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0078613 | OK | |
| Family Nurse Practitioner | 363LF0000X | R0078613 | OK | Primary |
Addresses
Primary practice location
1000 Hospital Cir
Kingfisher, OK 73750
Mailing address
1000 Hospital Cir
Kingfisher, OK 73750-5002
Phone (405) 375-7847
NPI Registry JSON
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1598098717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HOSPITAL CIR",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737505002",
"telephone_number": "405-375-7847",
"fax_number": "405-375-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOSPITAL CIR",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "73750",
"telephone_number": "405-375-7847",
"fax_number": "405-375-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTHOLD",
"first_name": "KENNA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0078613",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0078613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingfisher, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.