Individual provider Active NPI

Stephanie Keesee, APRN-CNP

  • Family Nurse Practitioner
  • Holdenville, OK
National Provider Identifier
1699150052
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83082 Issued in OK
Practice address
201 N Hinckley St
Holdenville, OK 74848
Phone
(405) 712-5080
Fax
(833) 254-2642
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 83082 OK Primary

Addresses

Primary practice location

201 N Hinckley St
Holdenville, OK 74848

Mailing address

201 N Hinckley St
Holdenville, OK 74848-5449
Phone (405) 712-5080

Other identifiers 1

IdentifierTypeStateIssuer
200670850AMedicaidOK

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
I20161206001259 OK Practitioner - Nurse Practitioner 7618257858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 N Hinckley St
Holdenville, OK 74848-5449
Phone (405) 712-5080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83082OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Clinic Aprn-CNP PLLC CurrentSince May 24, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients
True Believers Family Clinic PLLC Family PastSince Jun 29, 2025 Accepting new patients

Locations

201 N Hinckley St
Holdenville, OK 74848
Phone (405) 712-5080

Organizations & group practices 3

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1699150052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748485449",
            "telephone_number": "405-712-5080",
            "fax_number": "833-254-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-712-5080",
            "fax_number": "833-254-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESEE",
        "first_name": "STEPHANIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200670850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

Verify at the official NPI Registry.