Individual provider Active NPI

Hazel Louise Reel, ARNP

  • Family Nurse Practitioner
  • Wagoner, OK
National Provider Identifier
1861718876
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0049114 Issued in OK
Practice address
1317 S Dewey Ave
Wagoner, OK 74467-7013
Phone
(918) 485-9696
Fax
(918) 485-1701
NPI assigned
Apr 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 R0049114 OK Primary

Addresses

Primary practice location

1317 S Dewey Ave
Wagoner, OK 74467-7013

Mailing address

1317 S Dewey Ave
Wagoner, OK 74467-7013
Phone (918) 485-9696

Other identifiers 1

IdentifierTypeStateIssuer
352276246OtherOKTAX ID

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
I20100819000606 OK Practitioner - Nurse Practitioner 0446384937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coweta Medical Group,P.L.L.C.Group PAC ID 2466501069, 4 clinicians

Practice addresses (Care Compare)

28622 E 141St S St
Coweta, OK 74429-7515
Phone (918) 486-7425

28622 E 141St St S
Coweta, OK 74429-7515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0049114OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Dec 4, 2017 Accepting new patients
St John Urgent Care Clinics Inc CurrentSince Dec 4, 2017 Accepting new patients
Coweta Medical Group,P.L.L.C. CurrentSince Sep 15, 2022 Accepting new patients
St. John Physicians, Inc CurrentSince Dec 4, 2017 Accepting new patients
Ahs Oklahoma Physician Group LLC Past Accepting new patients

Locations

28622 E 141st St S
Coweta, OK 74429
Phone (918) 486-7425

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1861718876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 S DEWEY AVE",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677013",
            "telephone_number": "918-485-9696",
            "fax_number": "918-485-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 S DEWEY AVE",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677013",
            "telephone_number": "918-485-9696",
            "fax_number": "918-485-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEL",
        "first_name": "HAZEL",
        "middle_name": "LOUISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0049114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "352276246",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

Verify at the official NPI Registry.