Madeline Bach
Individual provider Active NPI Nurse Practitioner · Oklahoma City, OK
NPI 1790230985 · NPPES record last updated Sep 28, 2022
Key facts
- NPI
- 1790230985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 106661 (OK)
- Practice address
- 800 NW 9TH St Ste 100
Oklahoma City, OK 73106-7248 - Phone
- (405) 815-5050
- Fax
- (405) 815-5051
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saints Medical Group, LLC
Practice addresses (Care Compare)
608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Oklahoma City
- SSM Health St Anthony Hospital - Shawnee
- SSM Health St Anthony Hospital - Midwest
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170124001920 | OK | Practitioner - Nurse Practitioner | 2668754888 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106661 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Single Specialty | Current |
Accepting new patients |
| Saints Medical Group, LLC | Single Specialty | Current |
Accepting new patients |
| Jackson County Memorial Hospital Authority | Single Specialty | Past | Accepting new patients |
Locations
1000 N Lincoln Blvd
Oklahoma City, OK 73104
Phone (405) 232-8696
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
800 NW 9th St
Ste 100
Oklahoma City, OK 73106
Phone (405) 815-5050
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1000 N Lincoln Blvd
Ste 4000
Oklahoma City, OK 73104
Phone (405) 271-4912
Interoperability endpoints
- mbach423724@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 106661 | OK | Yes |
Addresses
Primary practice location
800 NW 9TH St Ste 100
Oklahoma City, OK 73106-7248
Mailing address
800 NW 9TH St Ste 100
Oklahoma City, OK 73106-7248
Phone (405) 815-5050
Other providers in Oklahoma City, OK
- Sarah Baber
- Usman Baber
- Gina M. Babka Bryan
- Maria Baca
- Doris Angelica Baccala
- Theresa Bach
- Marianne Bacharach
- Brinlee Grace Bachelor
- Kathryn Elizabeth Bachman
- Kenneth John Bachman
All providers in Oklahoma City, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.