Individual provider Active NPI

Meygan Mode, APRN CNP

  • Family Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1770348138
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216794 Issued in OK
Practice address
210 W Robert St
Poteau, OK 74953-2942
Phone
(918) 649-0069
Fax
(918) 649-0067
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 216794 OK Primary

Addresses

Primary practice location

210 W Robert St
Poteau, OK 74953-2942

Mailing address

210 W Robert St
Poteau, OK 74953-2942
Phone (918) 649-0069

Other practice location 1

205 N Broadway St
Stigler, OK 74462-2043
Phone (918) 721-0080

Other practice location 2

4034 Rogers Ave Ste D
Fort Smith, AR 72903-3062
Phone (918) 721-0080

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
I20250210002425 OK Practitioner - Nurse Practitioner 1456790740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 W Robert St
Poteau, OK 74953-2942
Phone (918) 649-0069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216794OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meygan Mode Aprn-CNP PLLC Family CurrentSince Jan 1, 2025 Accepting new patients
T. Jarel Brown Aprn CNP PLLC CurrentSince Feb 26, 2024 Accepting new patients
Autumn Hembree Aprn-CNP PLLC Current Accepting new patients
Kimberly Cobb Aprn PLLC Family Current Accepting new patients
Tracy Morgan Aprn-CNP PLLC Family Current Accepting new patients

Locations

4034 Rogers Ave
Ste D
Fort Smith, AR 72903
Phone (918) 649-0069

210 W Robert St
Poteau, OK 74953
Phone (918) 649-0069

21642 McKenzie Rd
Poteau, OK 74953

205 N Broadway St
Stigler, OK 74462
Phone (918) 268-3773

Interoperability endpoints

  • Direct secure messaging: meyganmode@tjbap-ok.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1770348138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W ROBERT ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532942",
            "telephone_number": "918-649-0069",
            "fax_number": "918-649-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W ROBERT ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532942",
            "telephone_number": "918-649-0069",
            "fax_number": "918-649-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Stigler",
            "state": "OK",
            "postal_code": "744622043",
            "country_code": "US",
            "telephone_number": "918-721-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4034 Rogers Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033062",
            "country_code": "US",
            "telephone_number": "918-721-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODE",
        "first_name": "MEYGAN",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.