Tasha Kay Clewell
Individual provider Active NPI Family Nurse Practitioner · Watonga, OK
NPI 1619704475 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1619704475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 223996 (OK)
- Practice address
- 407 N Clarence Nash Blvd
Watonga, OK 73772-3636 - Phone
- (580) 623-2233
- Fax
- (580) 623-2232
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
407 N Clarence Nash Blvd
Watonga, OK 73772-3636
Phone (580) 623-4954
Hospital & facility affiliations
- Choice Health at Home - Kingfisher
- Mercy Hospital Watonga, Inc
- Mercy Hospital Oklahoma City, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250920000388 | OK | Practitioner - Nurse Practitioner | 2567966633 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0129874 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current |
Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
407 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0129874 | OK | |
| Family Nurse Practitioner | 363LF0000X | 223996 | OK | Yes |
Addresses
Primary practice location
407 N Clarence Nash Blvd
Watonga, OK 73772-3636
Mailing address
407 N Clarence Nash Blvd
Watonga, OK 73772-3636
Phone (580) 623-2233
Other providers in Watonga, OK
- Jera D Burtin
- Valerie Chaput
- City of Watonga
- Cityrx LLC
- Dana Marie Clark
- Tametra L. Cole-Davis
- Hailey Brooke Compton
- Delana Cowan
- Crestridge LLC
- Curtis Schenk MD
All providers in Watonga, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.