Individual provider Active NPI

Teresa Melinda James, APRN CFNP

  • Family Medicine Physician
  • Wagoner, OK
National Provider Identifier
1811529209
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99271 Issued in OK
Practice address
1317 S Dewey Ave
Wagoner, OK 74467-7013
Phone
(918) 401-1002
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 99271 OK Primary

Addresses

Primary practice location

1317 S Dewey Ave
Wagoner, OK 74467-7013

Mailing address

PO Box 348
Braggs, OK 74423-0348
Phone (918) 351-3431

Other identifiers 2

IdentifierTypeStateIssuer
200901640AMedicaidOK
99271OtherOKOKLAHOMA BON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200730000184 OK Practitioner - Nurse Practitioner 1850716481 Reassigns benefits to 1 organization
Practice locations: Gore, OK

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates, Inc.Group PAC ID 5395763064, 14 clinicians

Practice addresses (Care Compare)

11000 Hefner Pointe Dr
Oklahoma City, OK 73120-5039
Phone (405) 749-9655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
75.75
Improvement activities
40
Cost
69.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99271OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Verdigris Valley Health Centers, Inc. Family Medicine Current Accepting new patients
Urology Associates, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Arkansas Verdigris Valley Health Centers,Inc. Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Arkansas Verdigris Valley Health Centers, Inc. Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

205 S Park Ln
Ste 140
Altus, OK 73521

205 S Park Ln
Ste 320
Altus, OK 73521

11000 Hefner Pointe Dr
Oklahoma City, OK 73120
Phone (405) 749-9655

505 S Main St
Tullahassee, OK 74454
Phone (918) 483-0111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13866/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/uc27885_uroassocincok

Organizations & group practices 5

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 2

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1811529209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "BRAGGS",
            "state": "OK",
            "postal_code": "744230348",
            "telephone_number": "918-351-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 S DEWEY AVE",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677013",
            "telephone_number": "918-401-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TERESA",
        "middle_name": "MELINDA",
        "credential": "APRN CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "99271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901640A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BON",
            "identifier": "99271",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

Verify at the official NPI Registry.