Individual provider Active NPI

Angela Bogner, APRN NP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1801514617
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209527 Issued in OK
Practice address
13301 N Meridian Ave Ste 501
Oklahoma City, OK 73120-9368
Phone
(405) 752-0871
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X R0120713 OK
Family Nurse Practitioner 363LF0000X 327215 AZ
Family Nurse Practitioner 363LF0000X 209527 OK Primary

Addresses

Primary practice location

13301 N Meridian Ave Ste 501
Oklahoma City, OK 73120-9368

Mailing address

13301 N Meridian Ave Ste 501
Oklahoma City, OK 73120-9368
Phone (405) 752-0871

Other practice location 1

603 N Wilmot Rd Ste 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230310001889 OK Practitioner - Nurse Practitioner 7214300383 Reassigns benefits to 1 organization
I20250831000302 AZ Practitioner - Nurse Practitioner 7214300383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Cancer and Blood Specialists LLCGroup PAC ID 4981874849, 12 clinicians
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

100 N 30TH St
Clinton, OK 73601-3117
Phone (405) 752-0871

11100 Hefner Pointe Dr
Suite a
Oklahoma City, OK 73120-5049
Phone (405) 752-0871

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
60.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0120713OKMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Sep 1, 2025 Accepting new patients
Oklahoma Cancer and Blood Specialists, LLC CurrentSince Nov 18, 2022 Accepting new patients

Locations

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

603 N Wilmot Rd
#151
Tucson, AZ 85711
Phone (520) 324-2535

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

13301 N Meridian Ave
Ste 501
Oklahoma City, OK 73120
Phone (405) 608-2772

11100 Hefner Pointe Dr
Ste A
Oklahoma City, OK 73120
Phone (405) 752-0871

215 N Illinois St
Weatherford, OK 73096
Phone (405) 752-0871

Organizations & group practices 3

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 12

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1801514617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209368",
            "telephone_number": "405-752-0871",
            "fax_number": "405-421-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209368",
            "telephone_number": "405-752-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 N Wilmot Rd Ste 151",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112701",
            "country_code": "US",
            "telephone_number": "520-420-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGNER",
        "first_name": "ANGELA",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "OK",
            "license": "R0120713",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "327215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.