Kelli Dean Stephenson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

225099 Issued in OK

Practice address

2518 N Main St
Miami, OK 74354-1602

Phone

(918) 540-9077

Fax

(918) 540-9080

NPI assigned

Jan 21, 2011

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Kelli Dean Banks Other name

Medicare fee-for-service enrollment

Enrolled in TN, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment Care Compare group NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Coda, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Seaside, OR
  • NPI 1750912184
  NPD
• Elk River Health Services, Inc.

  dba Goodman Family Clinic

  • Family Medicine Physician
  • Goodman, MO
  • NPI 1497885826
  NPD (past)
• Elk River Health Services, Inc.

  dba Pineville Medical Clinic

  • Rural Health Clinic/Center
  • Pineville, MO
  • NPI 1548269046
  NPD (past)
• Elk River Health Services, Inc.

  dba Pineville Medical Clinic

  • Family Medicine Physician
  • Pineville, MO
  • NPI 1851420525
  NPD (past)
• Elk River Health Services, Inc.

  dba Anderson Rural Health Clinic

  • Family Medicine Physician
  • Anderson, MO
  • NPI 1952431389
  NPD (past)
• Good Shepherd Health Care System

  dba Good Shepherd Medical Group

  • Pediatrics Physician
  • Hermiston, OR
  • NPI 1336198159
  NPD (past)
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Haysville, KS
  • NPI 1083398267
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1780989772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13620",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731131629",
            "telephone_number": "405-445-1210",
            "fax_number": "405-445-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541602",
            "telephone_number": "918-540-9077",
            "fax_number": "918-540-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Peres Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381081660",
            "country_code": "US",
            "telephone_number": "901-515-5500",
            "fax_number": "901-458-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2367 S Roosevelt Dr",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "OR",
            "postal_code": "971386550",
            "country_code": "US",
            "telephone_number": "971-320-3161",
            "fax_number": "503-738-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KELLI",
        "middle_name": "DEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33371",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201394741NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60494710",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OR",
            "license": "201800264NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "33371",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201800264NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "225099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "BANKS",
            "middle_name": "DEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Stacy, BS
• Derek Stapleton
• Brian Louis Starchman
• Bradford Jay Stephens, M.D.
• Stephanie Stephens
• Jeffrey Neal Stewart, MD
• Kelsey Diane Stewart, SLP-A
• Cierra Stiles
• Robin E. Still, LPC, LADC
• Lisa Stokely, LCSW

• Family Nurse Practitioner in Miami, OK
• Providers in Miami, 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 Aug 13, 2025; 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.