Marissa L Bernabe, APRN
Individual provider Active NPI Family Nurse Practitioner · Bartlesville, OK
NPI 1720697378 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1720697378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 212058 (OK)
- Practice address
- 2431 SE Washington Blvd Ste B
Bartlesville, OK 74006 - Phone
- (539) 529-6230
- Fax
- (539) 529-6239
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ahs Oklahoma Physician Group LLC
Hillcrest Urgent Care, LLC
Practice addresses (Care Compare)
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
2334 SE Washington Blvd
Suite B
Bartlesville, OK 74006-7257
Phone (918) 331-9184
4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 331-9979
Hospital & facility affiliations
- Ascension at Home
- Amedisys Home Health
- Angels Care Home Health
- Ascension St John Jane Phillips
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231128001601 | OK | Practitioner - Nurse Practitioner | 5991153223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Urgent Care, LLC | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Current |
Accepting new patients | |
| Jane Phillips Memorial Medical Center, Inc. | Past | Accepting new patients |
Locations
4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979
2431 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 333-5233
2334 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 331-3187
11402 N 135th East Ave
Owasso, OK 74055
Phone (918) 212-7373
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
1623 S Utica Ave
Tulsa, OK 74104
Phone (918) 392-5100
Dept 2184
Tulsa, OK 74182
Interoperability endpoints
- mbernabe1160806@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 212058 | OK | Yes |
Addresses
Primary practice location
2431 SE Washington Blvd Ste B
Bartlesville, OK 74006
Mailing address
2431 SE Washington Blvd Ste B
Bartlesville, OK 74006
Phone (539) 529-6230
Other providers in Bartlesville, OK
- Lacy D Bellar
- Gina Belt
- Ben F. Baker, M.D., PLLC
- Jamie A. Bennett
- Melissa Berkley
- Rodger W Berry II
- Stephannie J Bethel
- Zeyfoula Beytoula
- BHCP Heritage Villa Opco, LLC
- Shannon Sue Bible
All providers in Bartlesville, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.