Okc Primary Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

OKC PRIMARY CARE

Practice address

4631 N May Ave
Oklahoma City, OK 73112-6052

Phone

(405) 604-0004

NPI assigned

Aug 12, 2025

Last updated

Jul 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hayley Dorton

Title

Medical Biller

Phone

(405) 604-0004

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassidi Martin, CNP-F

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1750097622
  Medicare reassignment NPD
• Jennifer L Pannell, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1437712593
  Medicare reassignment NPD
• Brandi Eller

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1831065408
  Medicare reassignment

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1831075399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126052",
            "telephone_number": "405-604-0004",
            "fax_number": "405-604-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126052",
            "telephone_number": "405-604-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "DORTON",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "405-604-0004"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200980380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Okc Home Care Holdings, Inc. (Comfort Keepers)
• Okc Homedialysis LLC
• Okc Kids Urology PLLC
• Okc Medical Stop LLC (OKC COVID Testing Center)
• Okc Physical Therapy South
• Okc Prosth PLLC (Southwest OKC Oklahoma Implants and Dentures)
• Okc Pulmonary Specialist PC
• Okc Rehabilitation, LLC
• Okc Smiles, LLC
• Okc Surgicalists PLLC

• Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.