Individual provider Active NPI

Raven Jeaneene Piontek, FNP-C, IBCLC

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1740797182
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106583 Issued in OK
Practice address
1202 NW Arlington Ave
Lawton, OK 73507-6537
Phone
(580) 248-2288
Fax
(580) 248-5757
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-133766 OK
Family Nurse Practitioner 363LF0000X 106583 OK Primary

Addresses

Primary practice location

1202 NW Arlington Ave
Lawton, OK 73507-6537

Mailing address

619 E South Boundary St
Walters, OK 73572-2839
Phone (580) 919-5363

Other practice location 1

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 250-5232

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
I20200313001009 OK Practitioner - Nurse Practitioner 8325470024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

117 W Missouri St
Walters, OK 73572-1243
Phone (580) 875-5622

Hospital & facility affiliations

  • Sunshine Home Care, Inc Home health agency, Altus, OK, CCN 377487
  • Elara Caring Xxiv Home health agency, Lawton, OK, CCN 377660
  • Duncan Regional Hospital Home Care Home health agency, Duncan, OK, CCN 377142
  • Jefferson County Hospital Hospital, Waurika, OK, CCN 371311
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Memorial Health Hospital, Lawton, OK, CCN 370056

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-133766OKMDLactation Consultant (Registered Nurse)
106583OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Aryan P. Kadivar, M.D., P.C. CurrentSince Feb 1, 2026 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Duncan Regional Hospital Inc Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

916 SW 38th St
Ste D
Lawton, OK 73505
Phone (580) 248-1199

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

402 N Broadway St
Walters, OK 73572
Phone (580) 875-3347

117 W Missouri St
Walters, OK 73572
Phone (580) 875-5622

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9763/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1740797182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E SOUTH BOUNDARY ST",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735722839",
            "telephone_number": "580-919-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735076537",
            "telephone_number": "580-248-2288",
            "fax_number": "580-248-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 W Gore Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735056332",
            "country_code": "US",
            "telephone_number": "580-250-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIONTEK",
        "first_name": "RAVEN",
        "middle_name": "JEANEENE",
        "credential": "FNP-C, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "L-133766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.