Individual provider Active NPI

Marie Marianne McCune, NP-C

  • Family Nurse Practitioner
  • Enid, OK
National Provider Identifier
1639712326
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190768 Issued in OK
Practice address
1805 W Garriott Rd
Enid, OK 73703-5526
Phone
(580) 977-1826
Fax
(580) 249-4269
NPI assigned
Oct 24, 2019
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 F10190768 OK Primary

Addresses

Primary practice location

1805 W Garriott Rd
Enid, OK 73703-5526

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 945-4587

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
I20200317000431 OK Practitioner - Nurse Practitioner 8426486937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

1805 W Garriott Rd
Integris Urgent Care Plus
Enid, OK 73703-5526
Phone (580) 977-1904

1805 W Owen K Garriott Rd
Enid, OK 73703-5526
Phone (580) 977-1904

3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10190768OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Current Accepting new patients
Integris Health Allset Urgent Care LLC CurrentSince Jan 1, 2026 Accepting new patients
Integris Bass Baptist Health Center CurrentSince Apr 1, 2021 Accepting new patients
Integris Bass Baptist Health Center CurrentSince Apr 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Mar 1, 2020 Accepting new patients

Locations

1805 W Owen K Garriott Rd
Enid, OK 73703
Phone (580) 233-9012

2821 N Van Buren St
Ste B
Enid, OK 73703
Phone (580) 213-9794

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • Direct secure messaging: mmccune12682@direct.integrisok.com

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, 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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1639712326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-945-4587",
            "fax_number": "580-249-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035526",
            "telephone_number": "580-977-1826",
            "fax_number": "580-249-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "MARIE",
        "middle_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F10190768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.