Individual provider Active NPI

Donna Cross, APRN

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1760155675
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204369 Issued in OK
Practice address
1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone
(405) 703-0937
Fax
(888) 290-8567
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 204369 OK Primary

Addresses

Primary practice location

1109 SW 30TH CT Ste a
Moore, OK 73160-2887

Mailing address

1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone (405) 703-0937

Other practice location 1

15132 Traditions Blvd
Edmond, OK 73013
Phone (405) 703-0937

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
I20230209001423 OK Practitioner - Nurse Practitioner 9830561323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256

301 S Mustang Rd
Yukon, OK 73099-6704
Phone (405) 324-1911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204369OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC CurrentSince Aug 1, 2025 Accepting new patients
Tulsa Emergency Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • Direct secure messaging: donna.clousefnp.p8@direct.nextcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: donna.crossfnp.p10@direct.nextcare.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1760155675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15132 Traditions Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "73013",
            "country_code": "US",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "DONNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.