Individual provider Active NPI

Afton Nicole Owen, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1689254609
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201671 Issued in OK
Practice address
1819 E 19TH St FL 5
Tulsa, OK 74104-5407
Phone
(918) 505-3200
Fax
(855) 578-9798
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201671 OK Primary

Addresses

Primary practice location

1819 E 19TH St FL 5
Tulsa, OK 74104-5407

Mailing address

12697 E 51St St
Tulsa, OK 74146-6236
Phone (918) 505-3200

Other identifiers 1

IdentifierTypeStateIssuer
200981450AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210507000135 OK Practitioner - Nurse Practitioner 9234548025 Reassigns benefits to 2 organizations
I20241010001916 KS Practitioner - Nurse Practitioner 9234548025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

1400 W 4TH St
Coffeyville, KS 67337-3306
Phone 62025112001147

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • Home Town Home Health Home health agency, Independence, KS, CCN 177100
  • Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
86.79
Promoting interoperability
100
Improvement activities
40
Cost
76.43

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
69.28
Promoting interoperability
100
Improvement activities
40
Cost
56.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coffeyville Regional Medical Center Inc Current Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Apr 19, 2021 Accepting new patients
St. John Physicians, Inc CurrentSince Apr 1, 2024 Accepting new patients
St. John Physicians, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Coffeyville Regional Medical Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Tulsa Cancer Institute PLLC Current Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC CurrentSince Apr 19, 2021 Accepting new patients
Coffeyville Regional Medical Center Inc Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

1400 W 4th St
#100
Coffeyville, KS 67337
Phone (620) 688-6566

1819 E 19th St
Fl 5
Tulsa, OK 74104
Phone (918) 505-3200

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1819 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 744-3600

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

Organizations & group practices 9

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 5

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1689254609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E 19TH ST FL 5",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045407",
            "telephone_number": "918-505-3200",
            "fax_number": "855-578-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "AFTON",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200981450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.