Dustin Wayne Alexander, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

90758 Issued in OK

Practice address

2029 Gordon Cooper Dr
Shawnee, OK 74801

Phone

(405) 878-5850

NPI assigned

Dec 10, 2015

Last updated

Mar 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absentee Shawnee Tribal Health Authority, IncGroup PAC ID 5799171088, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dustin.alexander@asths.eclinicaldirectplus.com

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.

• Absentee Shawnee Tribal Health Authority, Inc.

  dba Absentee Shawnee Tribal Health System - Shawnee Clinic

  • Multi-Specialty Clinic/Center
  • Shawnee, OK
  • NPI 1942253521
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1831564269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LITTLE AXE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730269088",
            "telephone_number": "405-447-0300",
            "fax_number": "405-701-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74801",
            "telephone_number": "405-878-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15951 Little Axe Dr",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730269088",
            "country_code": "US",
            "telephone_number": "405-447-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15702 East Highway 9",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73026",
            "country_code": "US",
            "telephone_number": "405-447-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DUSTIN",
        "middle_name": "WAYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "90758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200628540B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Adcock
• Advance Physicians Group (First Med Urgent Care)
• Advocates for Change Family Services, PLLC
• Ryan Kyle Aldrich, MD
• Cassandra Alexander, M.ED.
• Rhonda Alexander
• Alexandria Dialysis LLC (Shawnee Peritoneal Dialysis)
• Susan Alfert
• Amanda Allen
• Kaitlen Allen

• Family Nurse Practitioner in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.