NPIMap

Individual provider Active NPI

Aaron Rush Daugherty, APRN-CNP

  • Family Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1609409341
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73692 Issued in OK
Practice address
1800 W 1St St Ste 106
Elk City, OK 73644-3133
Phone
(580) 243-2200
Fax
(580) 303-4712
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 73692 OK Primary

Addresses

Primary practice location

1800 W 1St St Ste 106
Elk City, OK 73644-3133

Mailing address

1800 W 1St St Ste 106
Elk City, OK 73644-3133
Phone (580) 243-2200

Other practice location 1

1800 W 1st St Ste 108
Elk City, OK 73644-3133
Phone (580) 243-2200

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
I20200316000108 OK Practitioner - Nurse Practitioner 5991133530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates, Inc.Group PAC ID 5395763064, 14 clinicians

Practice addresses (Care Compare)

11000 Hefner Pointe Dr
Oklahoma City, OK 73120-5039
Phone (405) 749-9655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.47 of 100Reported as group
Quality
65.03
Improvement activities
40
Cost
71.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73692OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Current Accepting new patients
Western Oklahoma Urology PLLC CurrentSince Feb 25, 2020 Accepting new patients
Urology Associates, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Farmers Union Hospital Association Past Accepting new patients

Locations

1800 W 1st St
Elk City, OK 73644
Phone (580) 243-0525

1800 W 1st St
#106
Elk City, OK 73644
Phone (580) 243-2200

1800 W 1st St
Ste 106
Elk City, OK 73644
Phone (580) 243-2200

1800 W 1st St
Ste 108
Elk City, OK 73644
Phone (580) 225-4200

522 N Main St
Elk City, OK 73644
Phone (580) 243-2200

11000 Hefner Pointe Dr
Oklahoma City, OK 73120
Phone (405) 749-9655

Interoperability endpoints

  • Direct secure messaging: him@direct.jcmh.com
  • FHIR API: https://app.meldrx.com/api/fhir/uc27885_uroassocincok

Organizations & group practices 4

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1609409341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST STE 106",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-243-2200",
            "fax_number": "580-303-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST STE 106",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-243-2200",
            "fax_number": "580-303-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W 1st St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736443133",
            "country_code": "US",
            "telephone_number": "580-243-2200",
            "fax_number": "580-303-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "AARON",
        "middle_name": "RUSH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "73692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.