Individual provider Active NPI

Teri A Pay, N.P.

  • Nurse Practitioner
  • Pampa, TX
National Provider Identifier
1619906534
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
739475 Issued in TX
Practice address
701 N Price Rd
Pampa, TX 79065-5126
Phone
(806) 688-2273
Fax
(806) 665-0537
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 45736 KS
Emergency Medicine Physician 207P00000X 739475 TX
Nurse Practitioner 363L00000X 739475 TX Primary
Pediatric Nurse Practitioner 363LP0200X 739475 TX

Addresses

Primary practice location

701 N Price Rd
Pampa, TX 79065-5126

Mailing address

916 N Crest Rd
Pampa, TX 79065-2798
Phone (806) 662-3613

Other identifiers 6

IdentifierTypeStateIssuer
201311203MedicaidTX
200308720 AMedicaidOK
200347480CMedicaidKS
201311202MedicaidTX
161690OtherKSBCBS
01409751MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080516000348 TX Practitioner - Nurse Practitioner 3577580893 Reassigns benefits to 1 organization
I20220221001546 OK Practitioner - Nurse Practitioner 3577580893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Oklahoma PLLCGroup PAC ID 2264758705, 20 clinicians

Practice addresses (Care Compare)

1004 E Bryan Ave
Sapulpa, OK 74066-4513
Phone (855) 689-5105

2716 W Gore Blvd
Suite C
Lawton, OK 73505-6305
Phone (580) 357-3280

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (855) 689-5105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
739475TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Oklahoma, PLLC Emergency Medicine CurrentSince Dec 29, 2021 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
St John Sapulpa, Inc. Past Accepting new patients
Wyatt Clinic, P.a. Past Accepting new patients
Wichita Bone & Joint Center, PA Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

222 SE Debell Ave
Bartlesville, OK 74006
Phone (918) 335-1811

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

351 S 40th St
Muskogee, OK 74401
Phone (918) 682-6161

4 NE 10th St
Oklahoma City, OK 73104
Phone (405) 996-2694

1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280

4812 S 109th East Ave
Ste 101
Tulsa, OK 74146
Phone (918) 748-3103

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

1200 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-4150

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.

Hospital & facility affiliations 5

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1619906534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N CREST RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652798",
            "telephone_number": "806-662-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N PRICE RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790655126",
            "telephone_number": "806-688-2273",
            "fax_number": "806-665-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAY",
        "first_name": "TERI",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45736",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "739475",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "739475",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "739475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201311203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200308720 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347480C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201311202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161690",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01409751",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

Verify at the official NPI Registry.