Organization Active NPI

MM Health Aprn-CNP PLLC

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1790285849
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MM HEALTH APRN-CNP PLLC
Practice address
200 N Bryant Ave Ste 120
Edmond, OK 73034-6273
Phone
(405) 832-6881
Fax
(833) 941-1685
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Melisa Weaver, APRN-CNPNPI 1033240056
Title
Provider/Owner
Phone
(405) 844-3317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

200 N Bryant Ave Ste 120
Edmond, OK 73034-6273

Mailing address

200 N Bryant Ave Ste 120
Edmond, OK 73034-6273
Phone (405) 832-6881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180323001110 OK Part B Supplier - Clinic/Group Practice 9335401744 Receives reassigned benefits from 10 practitioners
Practice locations: Edmond, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2318971MM Health Aprn-CNP PLLC200 N Bryant Ave, Ste 120, Edmond, OK 73034Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

200 N Bryant Ave
Ste 120
Edmond, OK 73034
Phone (405) 359-2473

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1790285849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BRYANT AVE STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346273",
            "telephone_number": "405-832-6881",
            "fax_number": "833-941-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BRYANT AVE STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346273",
            "telephone_number": "405-832-6881",
            "fax_number": "833-941-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM HEALTH APRN-CNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2023-10-10",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "405-844-3317",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.