Individual provider Active NPI

Lana Gail Nelson, D.O.

  • Surgery Physician
  • Norman, OK
National Provider Identifier
1679521553
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4264 Issued in OK
Practice address
2821 36TH Ave NW Ste 105
Norman, OK 73072-2471
Phone
(405) 515-2049
Fax
(405) 307-5631
NPI assigned
May 4, 2006
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4264 OK Primary

Addresses

Primary practice location

2821 36TH Ave NW Ste 105
Norman, OK 73072-2471

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6630

Other identifiers 1

IdentifierTypeStateIssuer
200074780AMedicaidOK

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000130 OK Practitioner - General Surgery 0941239537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4264OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care Surgery CurrentSince Jan 1, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Lana G Nelson DO PC Surgery PastSince Mar 14, 2007 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

2821 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 307-5700

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3300 Healthplex Pkwy
Ste 201
Norman, OK 73072

3400 W Tecumseh Rd
Ste 105
Norman, OK 73072
Phone (405) 307-6955

3400 W Tecumseh Rd
Ste 205
Norman, OK 73072
Phone (405) 360-7100

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

Organizations & group practices 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1679521553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6630",
            "fax_number": "405-701-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 36TH AVE NW STE 105",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722471",
            "telephone_number": "405-515-2049",
            "fax_number": "405-307-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LANA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200074780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.