Angela R Williams, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

M0097977 Issued in OK

Practice address

106 NW Veterans Blvd
Miami, OK 74354-1818

Phone

(918) 238-3074

NPI assigned

Dec 15, 2017

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, OK2 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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Grove HospitalGroup PAC ID 0042105835, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integris Grove Hospital

  dba Integris Medical Group Grove

  • Rural Health Clinic/Center
  • Grove, OK
  • NPI 1134720592
  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Oklahoma, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lawton, OK
  • NPI 1144625740

  Nurse Practitioner

  Medicare reassignment NPD
• Integris Grove Hospital

  dba Integris Health Grove Hospital

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

  dba INTEGRIS Express Care Grove

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

  dba INTEGRIS Miami Physicians Clinic

  • Rural Health Clinic/Center
  • Miami, OK
  • NPI 1912508375
  NPD

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1700392537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-240-4353",
            "fax_number": "417-845-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NW VETERANS BLVD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541818",
            "telephone_number": "918-238-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Rocketdyne Rd",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648503106",
            "country_code": "US",
            "telephone_number": "417-451-7425",
            "fax_number": "417-451-7455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 E Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "MO",
            "postal_code": "648314103",
            "country_code": "US",
            "telephone_number": "417-845-6984",
            "fax_number": "417-845-6976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018002576",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M0097977",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "118482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patty Westpfahl
• Donna White, ARNP
• Jade Marie White
• Misty Michelle Whitlock, RN
• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Jessica Dawn Williams, DNP, PMHNP
• Joey Dee Williams
• Lexus Shae Williams
• John Willis
• Willow Crest Hospital, Inc

• Nurse Practitioner in Miami, OK
• Providers in Miami, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.