Individual provider Active NPI

Misty Dawn Gregory, ARNP

  • Primary Care Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1700989316
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
67385 Issued in OK
Practice address
736 S Mustang Rd
Yukon, OK 73099-6777
Phone
(405) 410-5675
Fax
(405) 638-3384
NPI assigned
Sep 7, 2006
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R0067385 OK
Gerontology Nurse Practitioner 363LG0600X 67385 OK
Primary Care Nurse Practitioner 363LP2300X 67385 OK Primary

Addresses

Primary practice location

736 S Mustang Rd
Yukon, OK 73099-6777

Mailing address

4401 SE 37TH St
Norman, OK 73071-8138
Phone (405) 410-5675

Other names 1

  • Misty Dean Former name

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
I20050203000145 OK Practitioner - Nurse Practitioner 5799736146 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0067385OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Oklahoma, PLLC CurrentSince Jan 27, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Nazala Healthcare Inc PC Past Accepting new patients
Quick Clinic LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: mdean531770@direct-ehr-ssmhc.com

Organizations & group practices 5

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1700989316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SE 37TH ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730718138",
            "telephone_number": "405-410-5675",
            "fax_number": "405-638-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996777",
            "telephone_number": "405-410-5675",
            "fax_number": "405-638-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0067385",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "67385",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "67385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "DEAN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.