Active NPI
MM Health Aprn-CNP PLLC
- Nurse Practitioner
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melisa Weaver, APRN-CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2318971 | MM Health Aprn-CNP PLLC | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
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Nurse Practitioner, OK
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- Oklahoma City, OK
- NPI 1720040223
-
- Nurse Practitioner
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- NPI 1083273932
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.