Individual provider Active NPI

Amber Ladawn Surz

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1619524683
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
134215 Issued in OK
Practice address
7017 N Robinson Ave
Oklahoma City, OK 73116-9044
Phone
(405) 658-3130
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 134215 OK Primary

Addresses

Primary practice location

7017 N Robinson Ave
Oklahoma City, OK 73116-9044

Mailing address

15949 Sky Run Dr
Edmond, OK 73013-8427
Phone (361) 816-6916

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://core.totalwellnessok.com

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
I20191022003254 OK Practitioner - Nurse Practitioner 1456683564 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians
Best Physicians at Home, IncGroup PAC ID 7012138662, 10 clinicians

Practice addresses (Care Compare)

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 914-2356

1920 E 1St St
Suite F
Chandler, OK 74834-2439
Phone 4056540013100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134215OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness CurrentSince Aug 21, 2019 Accepting new patients
Optimum Pac PLLC CurrentSince Jul 1, 2025 Accepting new patients
Optimum Post Acute Care PLLC CurrentSince May 3, 2025 Accepting new patients
Best Physicians at Home, Inc CurrentSince Feb 12, 2024 Accepting new patients

Locations

1920 E 1st St
Ste B
Chandler, OK 74834

511 E 1st St
Chandler, OK 74834
Phone (405) 258-0014

1920 E 1st St
Ste F
Chandler, OK 74834
Phone (405) 255-2155

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

7017 N Robinson Ave
Oklahoma City, OK 73116
Phone (405) 658-3130

8600 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 681-6625

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1619524683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15949 SKY RUN DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138427",
            "telephone_number": "361-816-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 N ROBINSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169044",
            "telephone_number": "405-658-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURZ",
        "first_name": "AMBER",
        "middle_name": "LADAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "134215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://core.totalwellnessok.com",
            "affiliation": "N",
            "address_1": "7017 N Robinson Ave",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731169044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.