Individual provider Active NPI

Pamela Laura Migliaccio, APRN, CNP

  • Family Nurse Practitioner
  • Choctaw, OK
National Provider Identifier
1689059610
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R00469 Issued in OK
Practice address
17420 NE 23Rd St Ste a
Choctaw, OK 73020-8414
Phone
(405) 641-3644
Fax
(405) 645-9151
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R00469 OK Primary
Family Nurse Practitioner 363LF0000X 92469 OK
Primary Care Nurse Practitioner 363LP2300X R00469 OK

Addresses

Primary practice location

17420 NE 23Rd St Ste a
Choctaw, OK 73020-8414

Mailing address

PO Box 155
Harrah, OK 73045-0155
Phone (405) 641-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, ME, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160107002674 OK Practitioner - Nurse Practitioner 7719289719 Reassigns benefits to 4 organizations
I20210709000024 TX Practitioner - Nurse Practitioner 7719289719 Reassigns benefits to 1 organization
I20250106001802 ME Practitioner - Nurse Practitioner 7719289719
I20250414001883 CA Practitioner - Nurse Practitioner 7719289719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

1850 Spring Ridge Dr
Susanville, CA 96130-6100
Phone 53025150001515

209 Birch St
Westwood, CA 96137
Phone 53025150001515

4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550

608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R00469OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Single Specialty CurrentSince Feb 19, 2025 Accepting new patients
Saints Medical Group, LLC Single Specialty CurrentSince Feb 1, 2021 Accepting new patients
Shoshone Paiute Tribes CurrentSince Apr 19, 2021 Accepting new patients
Shoshone-Paiute Tribes Single Specialty CurrentSince Apr 19, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Single Specialty CurrentSince Feb 19, 2025 Accepting new patients
The Physicians Group LLC Single Specialty CurrentSince Apr 14, 2025 Accepting new patients
Katahdin Valley Health Center Single Specialty Current Accepting new patients
Minuteclinic Video Virtual Care, PLLC Single Specialty CurrentSince Dec 19, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Single Specialty CurrentSince Feb 19, 2025 Accepting new patients
Icare Center LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

529 S Patten Rd
Patten, ME 04765

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

13190 NE 23rd St
Choctaw, OK 73020
Phone (405) 769-7201

404 W Main St
Davis, OK 73030
Phone (405) 391-5526

1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980

3345 Territory Ln
El Reno, OK 73036
Phone (405) 252-3550

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

18961 NE 23rd St
Harrah, OK 73045
Phone (405) 390-1800

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

6201 N Santa Fe Ave
Ste 1010
Oklahoma City, OK 73118
Phone (405) 772-8687

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

Interoperability endpoints

  • Direct secure messaging: pmigliaccio530180@direct.integrisok.com
  • Direct secure messaging: pmigliaccio41111@direct-ehr-ssmhc.com
  • Direct secure messaging: pmigliaccio@tonawandasenecafcc.medentdirect.com
  • Direct secure messaging: pamela.migliaccio.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1689059610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730450155",
            "telephone_number": "405-641-3644",
            "fax_number": "405-945-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17420 NE 23RD ST STE A",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208414",
            "telephone_number": "405-641-3644",
            "fax_number": "405-645-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIACCIO",
        "first_name": "PAMELA",
        "middle_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R00469",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92469",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "R00469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

Verify at the official NPI Registry.