Individual provider Active NPI

Patricia L Pappe

  • Family Nurse Practitioner
  • Mustang, OK
National Provider Identifier
1821614637
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2000087 Issued in OK
Practice address
200 S Castlerock LN
Mustang, OK 73064-4584
Phone
(405) 256-6000
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 2000087 OK Primary

Addresses

Primary practice location

200 S Castlerock LN
Mustang, OK 73064-4584

Mailing address

200 S Castlerock LN
Mustang, OK 73064-4584
Phone (405) 256-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000087OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Bullock MD PC CurrentSince Sep 25, 2022 Accepting new patients
Mustang Family Physicians PC CurrentSince Sep 25, 2022 Accepting new patients

Locations

200 S Castlerock Ln
Mustang, OK 73064
Phone (405) 256-0374

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1821614637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644584",
            "telephone_number": "405-256-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644584",
            "telephone_number": "405-256-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPE",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "2000087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.