Active NPI
Tracy Sue Ogden, NP
- Nurse Practitioner
- Ponca City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 93682
- Practice address
- 1908 N 14TH St Ste 205
Ponca City, OK 74601-2039 - Phone
- (580) 718-4532
- NPI assigned
- Sep 17, 2009
- Last updated
- Sep 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 93682 | OK | Primary |
Addresses
Primary practice location
1908 N 14TH St Ste 205
Ponca City, OK 74601-2039
Mailing address
1908 N 14TH St Ste 205
Ponca City, OK 74601-2039
Phone (580) 718-4532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200270850A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ogden-tracy.ogden.1@4696.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 E Grand Ave
Tonkawa, OK 74653-3503
Phone (580) 308-3080
1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480
1323 W 6TH Ave
Kansas City, MO 74074-4306
706 S 13TH St
Suite B
Blackwell, OK 74631-3705
Phone (580) 363-9354
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Nes Oklahoma, Inc. | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Past | Accepting new patients | |
| Stillwater Medical Center Physicians | Past | Accepting new patients |
Locations
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
518 E Lakeview Rd
Stillwater, OK 74075
Phone (405) 533-8990
105 E Grand Ave
Tonkawa, OK 74653
Phone (580) 308-3080
Interoperability endpoints
- ogden-tracy.ogden.1@4696.direct.athenahealth.com
- tracy.ogden.1@16109.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1528040722
-
dba Stillwater Family Medical of Perry
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
dba Blackwell Regional Hospital
- Rural Acute Care Hospital
- Blackwell, OK
- NPI 1104375237
-
- Anesthesiology Physician
- Stillwater, OK
- NPI 1295859387
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Angels Care Home Health of East Oklahoma
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
dba Integris Health Ponca City Hospital
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
dba Blackwell Regional Hospital
- Rural Acute Care Hospital
- Blackwell, OK
- NPI 1104375237
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1861725103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N 14TH ST STE 205",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746012039",
"telephone_number": "580-718-4532",
"fax_number": "580-540-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 N 14TH ST STE 205",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746012039",
"telephone_number": "580-718-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGDEN",
"first_name": "TRACY",
"middle_name": "SUE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "93682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200270850A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ogden-tracy.ogden.1@4696.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "1908 N 14th St Ste 205",
"city": "Ponca City",
"state": "OK",
"country_code": "US",
"postal_code": "746012039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.