Individual provider Active NPI

Marilyn A. Becker, NP

  • Family Nurse Practitioner
  • Shawnee, OK
National Provider Identifier
1811932601
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0073894 Issued in OK
Practice address
1900 Gordon Cooper Drive
Shawnee, OK 74801
Phone
(405) 878-7160
NPI assigned
Jun 17, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0038649 OH
Family Nurse Practitioner 363LF0000X R0073894 OK Primary

Addresses

Primary practice location

1900 Gordon Cooper Drive
Shawnee, OK 74801

Mailing address

504 Pool Lane
Shawnee, OK 74801
Phone (405) 878-7160

Other identifiers 1

IdentifierTypeStateIssuer
200072230AMedicaidOK

Other names 1

  • Marilyn Ann McDermott and Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, AR, TX, MN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20060116000290 OK Practitioner - Nurse Practitioner 6204858715 Reassigns benefits to 17 organizations
I20180824000860 KS Practitioner - Nurse Practitioner 6204858715 Reassigns benefits to 1 organization
I20180906000358 AR Practitioner - Nurse Practitioner 6204858715 Reassigns benefits to 1 organization
I20241218002223 TX Practitioner - Nurse Practitioner 6204858715 Reassigns benefits to 1 organization
I20250710003570 MN Practitioner - Nurse Practitioner 6204858715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

307 Spruce Dr
Woodward, OK 73801-5935
Phone (405) 878-7160

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0073894OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtualcare Medical Group of Ar PA Family CurrentSince Nov 18, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince Mar 14, 2023 Accepting new patients
Virtualcare Medical Group PA CurrentSince Jan 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jun 20, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Virtualcare Medical Group of Az PC Family CurrentSince Jun 18, 2025 Accepting new patients
Virtualcare Medical Group of NE PC Family CurrentSince Dec 24, 2025 Accepting new patients
Allina Health System CurrentSince May 1, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince Mar 14, 2023 Accepting new patients
Welltrackone Corporation CurrentSince May 1, 2025 Accepting new patients
Allina Health System CurrentSince May 1, 2025 Accepting new patients
Virtualcare Medical Group of NV-Feng PC Family CurrentSince Sep 14, 2024 Accepting new patients
Virtualcare Medical Services of Ny PC Family CurrentSince Jan 1, 2023 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients
TSG Physicians Group Past Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients
Oklahoma Cardiovascular Associates, PC Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079

4853 S Sheridan Rd
Ste 612
Tulsa, OK 74145
Phone (405) 213-0192

7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

1327 Oklahoma Ave
Woodward, OK 73801
Phone (580) 254-2377

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

Organizations & group practices 31

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1811932601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 POOL LANE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74801",
            "telephone_number": "405-878-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GORDON COOPER DRIVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74801",
            "telephone_number": "405-878-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MARILYN",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0073894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MCDERMOTT AND SMITH",
            "middle_name": "ANN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.