Active NPI
Christine Renee Hauck, APRN
- Family Nurse Practitioner
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 79042
- Practice address
- 4400 Grant Blvd
Yukon, OK 73099 - Phone
- (405) 603-4660
- Fax
- (405) 470-3377
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 0079042 | OK | |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 0079042 | OK | |
| Family Nurse Practitioner | 363LF0000X | 79042 | OK | Primary |
Addresses
Primary practice location
4400 Grant Blvd
Yukon, OK 73099
Mailing address
11200 Lerida LN
Oklahoma City, OK 73173-8158
Phone (405) 314-5266
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300
12928 N May Ave
Oklahoma City, OK 73120-0817
Phone (405) 470-6510
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032
4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550
4400 Grant Blvd
Suite 103
Yukon, OK 73099-0038
Phone (405) 787-8550
Hospital & facility affiliations
- A Path of Care Home Health III, Inc
- Amedisys Home Health
- Apex Home Health
- Best Choice Home Health Inc
- Elara Caring XX
- Norman Regional
- Baptist Village of Oklahoma City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79042 | OK | MD | Family Nurse Practitioner |
| 0079042 | OK | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physicians Group LLC | Current | Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Past | Accepting new patients |
Locations
7530 NW 23rd St
Bethany, OK 73008
Phone (405) 730-6990
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440
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.
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
-
- Critical Access Hospital
- Kingfisher, OK
- NPI 1083048417
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Yukon, OK
- NPI 1649611278
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1255380275
-
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1447253240
Nursing home
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1821364662
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1447380670
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1336163013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1669690269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 LERIDA LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731738158",
"telephone_number": "405-314-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 GRANT BLVD",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-603-4660",
"fax_number": "405-470-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "CHRISTINE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "OK",
"license": "0079042",
"primary": false
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "OK",
"license": "0079042",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "79042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.