Individual provider Active NPI

Patricia G Smith, ARNP, FNP-C

  • Family Nurse Practitioner
  • Indianola, OK
National Provider Identifier
1770060147
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114768 Issued in OK
Practice address
1750 Indianola Cemetery Rd
Indianola, OK 74442-5125
Phone
(918) 302-7502
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AMC Medical Clinic I LLC 12 clinicians

Practice addresses (Care Compare)

218 N Main St
Eufaula, OK 74432-1633
Phone (918) 689-7705

640 Alexander Dr
Suite 107
Eufaula, OK 74432-4013
Phone (918) 490-9034

Hospital & facility affiliations

  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210111001112 OK Practitioner - Nurse Practitioner 2365786175 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114768OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Well Family Healthcare LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Kevin G. Bradley P.C. PastSince Apr 9, 2023 Accepting new patients

Locations

640 Alexander Dr
Ste 107
Eufaula, OK 74432
Phone (918) 490-9034

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114768 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

1750 Indianola Cemetery Rd
Indianola, OK 74442-5125

Mailing address

1750 Indianola Cemetery Rd
Indianola, OK 74442-5125
Phone (918) 302-7502

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2025.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1770060147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 INDIANOLA CEMETERY RD",
            "city": "INDIANOLA",
            "state": "OK",
            "postal_code": "744425125",
            "telephone_number": "918-302-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 INDIANOLA CEMETERY RD",
            "city": "INDIANOLA",
            "state": "OK",
            "postal_code": "744425125",
            "telephone_number": "918-302-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "114768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, OK

Sources for this page

Verify at the official NPI Registry.