Individual provider Active NPI

Alana Mattioda

  • Family Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1609496785
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
99609 Issued in OK
Practice address
1101 E Monroe Ave
McAlester, OK 74501-4815
Phone
(918) 426-7800
NPI assigned
Apr 20, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 96609 OK
Family Nurse Practitioner 363LF0000X 99609 OK Primary

Addresses

Primary practice location

1101 E Monroe Ave
McAlester, OK 74501-4815

Mailing address

PO Box 579
McAlester, OK 74502-0579

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
I20200803001437 OK Practitioner - Nurse Practitioner 0840615282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

1101 E Monroe
Carl Albert CMHC
McAlester, OK 74501-4826
Phone (918) 426-7800

1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741

2013 E Meadow LN
Stigler, OK 74462-2708

PO Box
Suite 179
Stigler, OK 74462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96609OKMDRegistered Nurse
99609OKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jul 21, 2020 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince Jul 21, 2020 Accepting new patients
Cornerstone Wellness Current Accepting new patients
Stigler Health and Wellness Center Inc CurrentSince Oct 20, 2025 Accepting new patients

Locations

1101 E Carl Albert Pkwy
McAlester, OK 74501

1101 E Monroe Ave
McAlester, OK 74501
Phone (918) 426-7878

1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 5

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1609496785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745020579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E MONROE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014815",
            "telephone_number": "918-426-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIODA",
        "first_name": "ALANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "96609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "99609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.