Katelyn S Fitzgerald, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220880 Issued in OK

Practice address

119 W Main St
Hominy, OK 74035-1031

Phone

(918) 885-4640

Fax

(918) 885-4644

NPI assigned

Nov 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA

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.

• Counseling & Recovery Services of Oklahoma, Inc.

  • Community/Behavioral Health Agency
  • Sand Springs, OK
  • NPI 1487717781
  NPD (past)
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173
  NPD (past)
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Hominy, OK
  • NPI 1609040864
  NPD (past)
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Newkirk, OK
  • NPI 1851535785
  NPD (past)
• Fairfax Medical Facilities, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1750104600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 61ST ST S",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740633663",
            "telephone_number": "918-688-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "HOMINY",
            "state": "OK",
            "postal_code": "740351031",
            "telephone_number": "918-885-4640",
            "fax_number": "918-885-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044613",
            "country_code": "US",
            "telephone_number": "918-712-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "OK",
            "postal_code": "746373023",
            "country_code": "US",
            "telephone_number": "918-642-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATELYN",
        "middle_name": "S",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Derby, PHAMD
• Angelia Dawn Diab, CNP, APRN
• Harmony Dunning, M.ED, LPC, RPT, NCC
• Fairfax Medical Facilities Inc
• Kisha Marie Farrell, APRN FNP-BC
• Heel to Toe Foot Care Plus Inc
• Hominy Community Medical Trust Authority
• Hominy Public School
• Hominy Rexall Inc
• Mary Kekahbah

• Family Nurse Practitioner in Hominy, OK
• Providers in Hominy, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.