Individual provider Active NPI

Brook Wayne Hightower, NP

  • Acute Care Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1831441930
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R0105564 Issued in OK
Practice address
14021 Crossing Way E
Edmond, OK 73013-4731
Phone
(405) 517-2054
NPI assigned
Oct 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R0105564 OK Primary

Addresses

Primary practice location

14021 Crossing Way E
Edmond, OK 73013-4731

Mailing address

14021 Crossing Way E
Edmond, OK 73013-4731
Phone (405) 517-2054

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
I20180820000517 OK Practitioner - Nurse Practitioner 1456600899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

1303 N Washington St
Xpress Wellness Urgent Care
Weatherford, OK 73096-2443
Phone (580) 772-2820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0105564OKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County Inc Current Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Nov 4, 2019 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Nov 4, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

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

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

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009

4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099

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

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

Interoperability endpoints

  • Direct secure messaging: bhightower1041449@directc.mercy.net

Organizations & group practices 6

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": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1831441930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 CROSSING WAY E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134731",
            "telephone_number": "405-517-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 CROSSING WAY E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134731",
            "telephone_number": "405-517-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "BROOK",
        "middle_name": "WAYNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-12",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "R0105564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.