Individual provider Active NPI

Michael Daniel Spieker, APRN FNP - BC

  • Family Nurse Practitioner
  • Sayre, OK
National Provider Identifier
1649623133
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82704 Issued in OK
Practice address
140 Park Dr
Sayre, OK 73662-8500
Phone
(580) 603-1475
NPI assigned
Jul 19, 2016
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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 82704 OK Primary

Addresses

Primary practice location

140 Park Dr
Sayre, OK 73662-8500

Mailing address

140 Park Dr
Sayre, OK 73662-8500
Phone (580) 603-1475

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
I20180725001104 OK Practitioner - Nurse Practitioner 3870840648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront-Rush Medical Service PAGroup PAC ID 4486884285, 15 clinicians

Practice addresses (Care Compare)

15205 Traditions Lake Pkwy
Edmond, OK 73013-1198
Phone (972) 449-0540

1800 W 1St St
Elk City, OK 73644-3133

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

1819 W 3Rd St
Great Plains Regional Medical Center
Elk City, OK 73644-5145
Phone (580) 225-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince May 18, 2025 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince Jul 6, 2018 Accepting new patients
Farmers Union Hospital Association CurrentSince Dec 19, 2024 Accepting new patients
Farmers Union Hospital Association Current Accepting new patients

Locations

15205 Traditions Lake Pkwy
Edmond, OK 73013
Phone (339) 499-9518

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1300 North Dr
Hartshorne, OK 74547
Phone (918) 297-7000

Interoperability endpoints

  • Direct secure messaging: michael.spieker.1@24287.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1649623133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PARK DR",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736628500",
            "telephone_number": "580-603-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK DR",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736628500",
            "telephone_number": "580-603-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEKER",
        "first_name": "MICHAEL",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "APRN FNP - BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "82704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, OK

Sources for this page

Verify at the official NPI Registry.