Tessa S McConnell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

221032 Issued in OK

Practice address

16925 NE 23Rd St Ste 103
Choctaw, OK 73020-8456

Phone

(405) 620-0049

Fax

(405) 281-5726

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Wellness PLLC Sara Botchlet Aprn-CNPGroup PAC ID 5799105771, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tessa.mcconnell.1@9553.direct.athenahealth.com
• Direct secure messaging: tessa.mcconnell.2@9553.direct.athenahealth.com

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.

• Elite Wellness PLLC Sara Botchlet Aprn-CNP

  • Family Nurse Practitioner
  • Choctaw, OK
  • NPI 1548871528
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1649087743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 NE 23RD ST STE 103",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208456",
            "telephone_number": "405-620-0049",
            "fax_number": "405-281-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16925 NE 23RD ST STE 103",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208456",
            "telephone_number": "405-620-0049",
            "fax_number": "405-281-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "TESSA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "221032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Martin
• Kathleen Rose Martin, DPH
• Mykayla Nicole Matlock
• Matt'S Country Boy Pharmacy LLC
• Judson May, DDS
• Brenda Jo McCracken
• Jimmy Scott McWhirter, LPC
• Martha Meurer, SLP
• Michelle Pritchard Counseling LLC
• Pamela Laura Migliaccio, APRN, CNP

• Family Nurse Practitioner in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.