Individual provider Active NPI

Eric Harlan Eimers-Mosier, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1679357529
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
214707 Issued in OK
Practice address
502 SW 38TH St
Lawton, OK 73505-6921
Phone
(580) 353-9115
Fax
(580) 355-1211
NPI assigned
Aug 22, 2023
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 214707 OK Primary

Addresses

Primary practice location

502 SW 38TH St
Lawton, OK 73505-6921

Mailing address

502 SW 38TH St
Lawton, OK 73505-6921
Phone (580) 250-2609

Other names 1

  • Eric Harlan Eimers Former name

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
I20240807002834 OK Practitioner - Nurse Practitioner 7416494422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

602 SW
38TH Jim Taliaferro CMHC
Lawton, OK 73505-6912
Phone (580) 248-5780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jul 24, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma CurrentSince Jul 24, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

602 SW 38th St
Lawton, OK 73505

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1679357529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SW 38TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056921",
            "telephone_number": "580-250-2609",
            "fax_number": "580-355-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SW 38TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056921",
            "telephone_number": "580-353-9115",
            "fax_number": "580-355-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIMERS-MOSIER",
        "first_name": "ERIC",
        "middle_name": "HARLAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "214707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "EIMERS",
            "middle_name": "HARLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.