Individual provider Active NPI

Monnica Chaning Emerson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1669120432
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207272 Issued in OK
Practice address
12221 E 51St St Ste a
Tulsa, OK 74146-6216
Phone
(918) 724-5365
Fax
(949) 695-2542
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 207272 OK Primary

Addresses

Primary practice location

12221 E 51St St Ste a
Tulsa, OK 74146-6216

Mailing address

12221 E 51St St Ste a
Tulsa, OK 74146-6216
Phone (918) 724-5365

Other identifiers 1

IdentifierTypeStateIssuer
207272OtherOKOKLAHOMA BOARD OF NURSING

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
I20220428000458 OK Practitioner - Nurse Practitioner 0446647168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12221 E 51St St
Suite a
Tulsa, OK 74146-6216
Phone (918) 724-5365

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
High Performance Health LLC Family CurrentSince Jan 20, 2024 Accepting new patients
Stamar Medical PLC PastSince Apr 1, 2022 Accepting new patients

Locations

12221 E 51st St
Ste A
Tulsa, OK 74146
Phone (918) 249-0623

12121 E 51st St
Ste 107
Tulsa, OK 74146

Organizations & group practices 2

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1669120432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 E 51ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466216",
            "telephone_number": "918-724-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 E 51ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466216",
            "telephone_number": "918-724-5365",
            "fax_number": "949-695-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "MONNICA",
        "middle_name": "CHANING",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF NURSING",
            "identifier": "207272",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.