Active NPI
Whitney Michelle Simmons, APRN
- Gerontology Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 200705
- Practice address
- 14000 N Portland Ave Ste 204
Oklahoma City, OK 73134-4025 - Phone
- (405) 548-4848
- Fax
- (833) 470-1448
- NPI assigned
- Sep 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109792 | OK | |
| Gerontology Nurse Practitioner | 363LG0600X | 200705 | OK | Primary |
Addresses
Primary practice location
14000 N Portland Ave Ste 204
Oklahoma City, OK 73134-4025
Mailing address
14000 N Portland Ave Ste 204
Oklahoma City, OK 73134-4025
Phone (405) 548-4848
Other practice location 1
4150 S Harvard Ave Ste G1
Tulsa, OK 74135-2614
Phone (918) 863-2731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SSN | Medicaid | OK |
Other names 1
- Whitney Michelle Calley
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 |
|---|---|---|---|---|
| I20220107001876 | OK | Practitioner - Nurse Practitioner | 9638561335 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6912 S Quentin St
Suite 50
Centennial, CO 80112-4531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109792 | OK | MD | Registered Nurse |
| 200705 | OK | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Infusion Solutions LLC | Current | Accepting new patients | |
| Mosaic Infusion Solutions LLC | Current | Accepting new patients | |
| Mosaic Infusion Solutions LLC | Current | Accepting new patients |
Locations
6912 S Quentin St
Ste 50
Englewood, CO 80112
14000 N Portland Ave
Ste 204
Oklahoma City, OK 73134
Phone (405) 548-4848
4150 S Harvard Ave
Ste G1
Tulsa, OK 74135
Phone (918) 863-2731
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.
-
- Infusion Therapy Clinic/Center
- Tulsa, OK
- NPI 1588269872
-
- Rheumatology Physician
- Oklahoma City, OK
- NPI 1992300271
-
- Infusion Therapy Clinic/Center
- Anchorage, AK
- NPI 1255067591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1679180699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 N PORTLAND AVE STE 204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731344025",
"telephone_number": "405-548-4848",
"fax_number": "833-470-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 N PORTLAND AVE STE 204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731344025",
"telephone_number": "405-548-4848",
"fax_number": "833-470-1448"
}
],
"practiceLocations": [
{
"address_1": "4150 S Harvard Ave Ste G1",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741352614",
"country_code": "US",
"telephone_number": "918-863-2731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "WHITNEY",
"middle_name": "MICHELLE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "109792",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "200705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SSN",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "CALLEY",
"middle_name": "MICHELLE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.