Stacia Kaylee Homan, APRN, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

222271 Issued in OK

Practice address

601 E 13TH St
Grove, OK 74344-2989

Phone

(918) 786-9009

Fax

(918) 786-3724

NPI assigned

Mar 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Integris Grove Hospital

  • Rural Health Clinic/Center
  • Grove, OK
  • NPI 1134720592

  OK

  Medicare reassignment NPD
• Integris Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579
  NPD
• Integris Grove Hospital

  • Rural Health Clinic/Center
  • Grove, OK
  • NPI 1689274391
  NPD
• Integris Rural Health Inc

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1962403030

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1679371983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "918-786-9009",
            "fax_number": "918-786-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 13TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442989",
            "telephone_number": "918-786-9009",
            "fax_number": "918-786-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "STACIA",
        "middle_name": "KAYLEE",
        "credential": "APRN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "222271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lynn Hill, APRN, FNP-C
• Russell Ryon Hinkle, M.S.. LPC
• Sydney F Holcombe
• Shanda Holenda
• Deborah Ann Holmes, PH.D.
• Andrew Michael Honderich, DDS
• Honey Creek Pharmacy Inc
• Ashton N Hopkins, COTA
• Hopper Medical Clinic
• Jacob Hostetler, M.D.

• All providers in Grove, OK
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.