Individual provider Active NPI

Andrene H Thompson, CNP

  • Family Nurse Practitioner
  • Afton, OK
National Provider Identifier
1659864064
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0082062 Issued in OK
Practice address
26300 S Highway 125
Afton, OK 74331-6282
Phone
(918) 257-8585
Fax
(918) 256-8234
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 R0082062 OK Primary

Addresses

Primary practice location

26300 S Highway 125
Afton, OK 74331-6282

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Other identifiers 1

IdentifierTypeStateIssuer
201059260AMedicaidOK

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
I20220302002147 OK Practitioner - Nurse Practitioner 9739573015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
True Believers Family Clinic, PLLCGroup PAC ID 6507366705, 2 clinicians
Wellspring Family ClinicGroup PAC ID 9638391782, 2 clinicians

Practice addresses (Care Compare)

1081 N Birch Ave
Broken Arrow, OK 74012-2692
Phone (918) 461-0422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True Believers Family Clinic PLLC Family CurrentSince Jul 1, 2025 Accepting new patients
Wellspring Family Clinic CurrentSince Sep 1, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 10, 2025 Accepting new patients

Locations

1081 N Birch Ave
Broken Arrow, OK 74012
Phone (918) 461-0422

1175 S Aspen Ave
Ste K
Broken Arrow, OK 74012

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1659864064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 S HIGHWAY 125",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "743316282",
            "telephone_number": "918-257-8585",
            "fax_number": "918-256-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDRENE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0082062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201059260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, OK

Sources for this page

Verify at the official NPI Registry.