Individual provider Active NPI

Mendy Marie Stoeser, DNP, NP-C

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1629540893
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0088436 Issued in OK
Practice address
755 Research Pkwy
Oklahoma City, OK 73104-3629
Phone
(800) 356-3477
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 R0088436 OK Primary

Addresses

Primary practice location

755 Research Pkwy
Oklahoma City, OK 73104-3629

Mailing address

2801 Parklawn Dr Ste 100
Midwest City, OK 73110-4224
Phone (405) 455-5330

Other names 1

  • Ms. Mendy Marie Kuchta Former name

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
I20191210000541 OK Practitioner - Nurse Practitioner 3173956976 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0088436OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnylane Medical Clinic LLC CurrentSince Sep 15, 2021 Accepting new patients

Locations

3916 S Sunnylane Rd
Oklahoma City, OK 73115
Phone (405) 677-3378

Organizations & group practices 1

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": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1629540893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR STE 100",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104224",
            "telephone_number": "405-455-5330",
            "fax_number": "405-455-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 RESEARCH PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043629",
            "telephone_number": "800-356-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOESER",
        "first_name": "MENDY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0088436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MENDY",
            "last_name": "KUCHTA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.