Individual provider Active NPI

Patty A Fienen, CNP

  • Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1821366634
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
81610 Issued in OK
Practice address
3400 E Frank Phillips Blvd
Suite 502
Bartlesville, OK 74006-2495
Phone
(918) 331-2577
Fax
(918) 331-2513
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 81610 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd
Suite 502
Bartlesville, OK 74006-2495

Mailing address

226 SE Debell Ave
BLDG a Suite 101
Bartlesville, OK 74006-2343
Phone (918) 331-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20140408000494 KS Practitioner - Nurse Practitioner 6204090129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 180
Neodesha, KS 66757-0180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81610OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
F Allen Moorhead Jr Past Accepting new patients
RHC F Allen Moorhead Jr MD Past Accepting new patients
RHC/F. Allen Moorhead Jr. M.D. Past Accepting new patients
Blue Stem Cardiology PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1821366634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "address_2": "BLDG A SUITE 101",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-331-2577",
            "fax_number": "918-331-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 502",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2577",
            "fax_number": "918-331-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENEN",
        "first_name": "PATTY",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "81610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.