Individual provider Active NPI

Marissa L Bernabe, APRN

  • Family Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1720697378
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212058 Issued in 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
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 212058 OK Primary

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

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
I20231128001601 OK Practitioner - Nurse Practitioner 5991153223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 9436122496, 314 clinicians
Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Hillcrest Urgent Care, LLC CurrentSince Aug 1, 2025 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

2334 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 331-3187

2431 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 333-5233

4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979

11402 N 135th East Ave
Owasso, OK 74055
Phone (918) 212-7373

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

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 1206
Tulsa, OK 74182

Dept 2184
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: mbernabe1160806@ahs.direct-ci.com

Organizations & group practices 4

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.

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1720697378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 SE WASHINGTON BLVD STE B",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "539-529-6230",
            "fax_number": "539-529-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 SE WASHINGTON BLVD STE B",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "539-529-6230",
            "fax_number": "539-529-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE",
        "first_name": "MARISSA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-01-10",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.