Individual provider Active NPI

Beverly Aiello, APRN - CNP

  • Family Nurse Practitioner
  • Cheyenne, OK
National Provider Identifier
1760915946
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105895 Issued in OK
Practice address
PO Box 490
Cheyenne, OK 73628-0490
Phone
(580) 497-3333
NPI assigned
Apr 5, 2017
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R105895 OK
Registered Nurse 163W00000X 201601668RN OR
Registered Nurse 163W00000X R0105895 OK
Family Nurse Practitioner 363LF0000X 105895 OK Primary

Addresses

Primary practice location

PO Box 490
Cheyenne, OK 73628-0490

Mailing address

PO Box 219
Cheyenne, OK 73628-0219
Phone (580) 613-0175

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
I20170628001256 OK Practitioner - Nurse Practitioner 2264701671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roger Mills County Hospital AuthorityGroup PAC ID 7113827403, shared by 3 NPIs, 7 clinicians

Practice addresses (Care Compare)

P O Box
Suite 490
Cheyenne, OK 73628-0490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0105895OKMDRegistered Nurse
201601668RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jun 19, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jun 19, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Roger Mills County Hospital Authority Past Accepting new patients
Roger Mills County Hospital Authority Past Accepting new patients

Locations

411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053

411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

Organizations & group practices 5

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 1

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1760915946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "CHEYENNE",
            "state": "OK",
            "postal_code": "736280219",
            "telephone_number": "580-613-0175",
            "fax_number": "580-497-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "CHEYENNE",
            "state": "OK",
            "postal_code": "736280490",
            "telephone_number": "580-497-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIELLO",
        "first_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "APRN - CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R105895",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201601668RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0105895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "105895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, OK

Sources for this page

Verify at the official NPI Registry.