Individual provider Active NPI

Ernest Kaara Maina, DNP

  • Family Nurse Practitioner
  • Wagoner, OK
National Provider Identifier
1740751445
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0114784 Issued in OK
Practice address
1202 W Cherokee St Ste C
Wagoner, OK 74467-4629
Phone
(918) 697-2171
Fax
(918) 201-1476
NPI assigned
Dec 7, 2018
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 0114784 OK Primary

Addresses

Primary practice location

1202 W Cherokee St Ste C
Wagoner, OK 74467-4629

Mailing address

1202 W Cherokee St Ste C
Wagoner, OK 74467-4629
Phone (918) 697-2171

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
I20190610002652 OK Practitioner - Nurse Practitioner 0345573119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 N Broadway St
Checotah, OK 74426-2431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0114784OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monduta Healthcare Services LLC CurrentSince Jan 6, 2026 Accepting new patients
John Belk Family Practice PLLC Family Medicine CurrentSince Jul 9, 2023 Accepting new patients

Locations

1818 N Highway 66
Ste B
Catoosa, OK 74015
Phone (417) 317-3388

1103 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-3182

1202 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-4504

1202 W Cherokee St
Ste C
Wagoner, OK 74467
Phone (918) 485-1205

Organizations & group practices 2

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 3

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": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1740751445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W CHEROKEE ST STE C",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674629",
            "telephone_number": "918-697-2171",
            "fax_number": "918-201-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W CHEROKEE ST STE C",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674629",
            "telephone_number": "918-697-2171",
            "fax_number": "918-201-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINA",
        "first_name": "ERNEST",
        "middle_name": "KAARA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0114784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

Verify at the official NPI Registry.