Individual provider Active NPI

Deana Rae Dungan, APRN-CNP

  • Family Nurse Practitioner
  • Hugo, OK
National Provider Identifier
1861005878
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1008142 Issued in TX
Practice address
1201 E Jackson St
Hugo, OK 74743-4229
Phone
(580) 326-6423
Fax
(580) 326-3660
NPI assigned
Aug 28, 2020
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1008142 TX Primary

Addresses

Primary practice location

1201 E Jackson St
Hugo, OK 74743-4229

Mailing address

1201 E Jackson St
Hugo, OK 74743-4229
Phone (580) 326-6423

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
I20220628001742 OK Practitioner - Nurse Practitioner 6800294596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 N Lawson Blvd
Clayton, OK 74536-0219
Phone (918) 917-9999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rowland Flatt Clinic CurrentSince Apr 18, 2022 Accepting new patients
Pushmataha Family Medical Center Inc CurrentSince Dec 2, 2024 Accepting new patients
Pushmataha Family Medical Center, Inc CurrentSince Dec 2, 2024 Accepting new patients
Rowland Ellis Flatt Hugo Rural Health Clinic Past Accepting new patients

Locations

603 NE 2nd St
Antlers, OK 74523
Phone (580) 298-3351

415 6th St
Boswell, OK 74727
Phone (580) 566-2530

1201 E Jackson St
Hugo, OK 74743
Phone (580) 326-6423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEIDAA

Organizations & group practices 4

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 6

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1861005878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434229",
            "telephone_number": "580-326-6423",
            "fax_number": "580-326-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434229",
            "telephone_number": "580-326-6423",
            "fax_number": "580-326-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "DEANA",
        "middle_name": "RAE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1008142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

Verify at the official NPI Registry.