Active NPI
Cheryl Ann Feken, APRN,CNP
- Family Nurse Practitioner
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 36351
- Practice address
- 817 S Elm PL Ste a
Broken Arrow, OK 74012-5369 - Phone
- (918) 251-2273
- Fax
- (918) 258-6446
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 36351 | OK | Primary |
Addresses
Primary practice location
817 S Elm PL Ste a
Broken Arrow, OK 74012-5369
Mailing address
PO Box 659506
Section 4142
San Antonio, TX 78265-9506
Phone (918) 251-2273
Other practice location 1
6048A S Sheridan Rd
Tulsa, OK 74145-9212
Phone (918) 935-3240
Other practice location 2
2811 E 15th St Ste 102
Tulsa, OK 74104-5242
Phone (918) 935-3240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200745280A | Medicaid | OK |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171120000134 | OK | Practitioner - Nurse Practitioner | 0840556239 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36351 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Family Medical Associates, LLC | Current | Accepting new patients | |
| Centennial Health, PC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
817 S Elm Pl
Broken Arrow, OK 74012
Phone (918) 251-2273
817 S Elm Pl
Ste A
Broken Arrow, OK 74012
Phone (918) 251-2273
225 Lilac Dr
Ste 200
Edmond, OK 73034
Phone (405) 330-7000
701 NE 10th St
Oklahoma City, OK 73104
Phone (405) 232-8003
7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1376585034
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1679008809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 659506",
"address_2": "SECTION 4142",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782659506",
"telephone_number": "918-251-2273",
"fax_number": "405-280-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 S ELM PL STE A",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125369",
"telephone_number": "918-251-2273",
"fax_number": "918-258-6446"
}
],
"practiceLocations": [
{
"address_1": "6048A S Sheridan Rd",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741459212",
"country_code": "US",
"telephone_number": "918-935-3240",
"fax_number": "918-935-3241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2811 E 15th St Ste 102",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741045242",
"country_code": "US",
"telephone_number": "918-935-3240",
"fax_number": "918-935-3241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEKEN",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "APRN,CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "36351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200745280A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.