Individual provider Active NPI

Billie Rae Robertson, APRN

  • Family Nurse Practitioner
  • Wilburton, OK
National Provider Identifier
1861204760
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220124 Issued in OK
Practice address
810 Highway 2
Wilburton, OK 74578
Phone
(918) 465-0170
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 220124 OK Primary

Addresses

Primary practice location

810 Highway 2
Wilburton, OK 74578

Mailing address

801 W Cedar Ave
Wilburton, OK 74578-4815

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
I20250421002270 OK Practitioner - Nurse Practitioner 8426573643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haskell Regional Hospital IncGroup PAC ID 1153742739, shared by 10 NPIs, 7 clinicians

Practice addresses (Care Compare)

1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741

714 Hwy 59 N
Heavener, OK 74937-2252
Phone (918) 653-2345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220124OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell Regional Hospital, Inc CurrentSince Apr 1, 2025 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Haskell Regional Hospital, Inc. Current Accepting new patients
Haskell Regional Hospital, Inc. Past Accepting new patients
Haskell Regional Hospital, Inc Past Accepting new patients
Haskell Regional Hospital, Inc. Past Accepting new patients
Haskell Regional Hospital, Inc Past Accepting new patients
Haskell Regional Hospital, Inc. Past Accepting new patients

Locations

10996 Four Seasons Pl
Ste 100C
Crown Point, IN 46307
Phone (219) 228-4355

714 Highway 59 N
Heavener, OK 74937
Phone (918) 653-2345

106 N Broadway St
Holdenville, OK 74848
Phone (405) 379-2300

401 NW H St
Stigler, OK 74462
Phone (918) 967-4682

503 NW H St
Stigler, OK 74462
Phone (918) 967-0055

810 Highway 2 N
Wilburton, OK 74578
Phone (918) 205-4972

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1861204760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W CEDAR AVE",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HIGHWAY 2",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "74578",
            "telephone_number": "918-465-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BILLIE",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilburton, OK

Sources for this page

Verify at the official NPI Registry.