Individual provider Active NPI

Angelena Frost, CNP

  • Family Nurse Practitioner
  • Atoka, OK
National Provider Identifier
1639450448
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0072675 Issued in OK
Practice address
457 S Mississippi Ave
Atoka, OK 74525-2500
Phone
(580) 889-4748
Fax
(580) 889-4735
NPI assigned
Sep 7, 2011
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0072675 OK Primary

Addresses

Primary practice location

457 S Mississippi Ave
Atoka, OK 74525-2500

Mailing address

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 371-2343

Other identifiers 1

IdentifierTypeStateIssuer
200538470AMedicaidOK

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
I20141001000374 OK Practitioner - Nurse Practitioner 0547428088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

457 S Mississippi Ave
Atoka, OK 74525-2500
Phone (580) 387-0509

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 387-0509

Merit-based Incentive Payment System (MIPS)

Final score
48.36 of 100Reported as group
Quality
69.37
Improvement activities
0
Cost
53.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0072675OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Durant Hma Physician Management, LLC CurrentSince Nov 10, 2018 Accepting new patients
Family Health Center of Southern Oklahoma Inc Current Accepting new patients
Family Health Center of Southern Oklahoma Inc CurrentSince Apr 30, 2025 Accepting new patients
Family Health Center of Southern Oklahoma Inc CurrentSince Apr 30, 2025 Accepting new patients
Family Health Center of Southern Oklahoma Inc Past Accepting new patients
Family Health Center of Southern Oklahoma Inc Past Accepting new patients

Locations

1592 S Virginia Ave
Atoka, OK 74525
Phone (580) 889-3355

457 S Mississippi Ave
Atoka, OK 74525
Phone (580) 889-4746

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

610 E 24th St
Tishomingo, OK 73460
Phone (580) 371-2343

Interoperability endpoints

  • Direct secure messaging: angelena.frost@fhcso.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73380

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1639450448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 S MISSISSIPPI AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252500",
            "telephone_number": "580-889-4748",
            "fax_number": "580-889-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "ANGELENA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0072675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200538470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.