Individual provider Active NPI

Michelle R Harley, APRN-CNP

  • Critical Care Neonatal Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1609946102
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
R0078629 Issued in OK
Practice address
10512 N 110TH East Ave Ste 300
Owasso, OK 74055-6638
Phone
(918) 376-8900
Fax
(918) 376-8990
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X MIL1-0432-7188 OK
Critical Care Neonatal Nurse Practitioner 363LN0005X R0078629 OK Primary
Neonatal Nurse Practitioner 363LN0000X C-APN.0106324-C-NP CO

Addresses

Primary practice location

10512 N 110TH East Ave Ste 300
Owasso, OK 74055-6638

Mailing address

7061 N Scissortail CT
Owasso, OK 74055-8282
Phone (918) 260-3939

Other identifiers 1

IdentifierTypeStateIssuer
200101110AMedicaidOK

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
I20250613000722 OK Practitioner - Nurse Practitioner 5294838108 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0106324-C-NPCOMDNeonatal Nurse Practitioner
MIL1-0432-7188OKMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

10512 N 110th East Ave
Ste 300
Owasso, OK 74055
Phone (918) 272-1172

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

1120 S Utica Ave
Ste 2123
Tulsa, OK 74104
Phone (918) 579-5402

Interoperability endpoints

  • Direct secure messaging: michelle.miller@direct.stjohnhealthsystem.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1609946102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 N SCISSORTAIL CT",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558282",
            "telephone_number": "918-260-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE STE 300",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556638",
            "telephone_number": "918-376-8900",
            "fax_number": "918-376-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OK",
            "license": "MIL1-0432-7188",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "OK",
            "license": "R0078629",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "C-APN.0106324-C-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200101110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.