Individual provider Active NPI

Renae McElrath, FNP, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1639848492
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0088699 Issued in OK
Practice address
2801 NW 23Rd St
Oklahoma City, OK 73107-2213
Phone
(405) 602-2525
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 R0088699 OK Primary

Addresses

Primary practice location

2801 NW 23Rd St
Oklahoma City, OK 73107-2213

Mailing address

10908 Victoria PL
Oklahoma City, OK 73120-6414
Phone (405) 595-8200

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
I20240612000666 OK Practitioner - Nurse Practitioner 2567904022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmond Primary Care LLCGroup PAC ID 4183064868, 4 clinicians

Practice addresses (Care Compare)

200 N Bryant Ave
Edmond, OK 73034-6273
Phone (405) 300-8964

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0088699OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edmond Primary Care LLC CurrentSince Aug 29, 2024 Accepting new patients
Signify Health, LLC CurrentSince May 6, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

200 N Bryant Ave
Ste 105
Edmond, OK 73034
Phone (405) 300-8964

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: renae.mcelrath@925456318660612.direct.elationemr.com

Organizations & group practices 3

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1639848492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 VICTORIA PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206414",
            "telephone_number": "405-595-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072213",
            "telephone_number": "405-602-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELRATH",
        "first_name": "RENAE",
        "credential": "FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0088699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.