Active NPI
Kelsey Marie Lillard, APRN, CPNP-PC
- Pediatric Nurse Practitioner
- Oologah, OK
National Provider Identifier
1871009019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 109392
- Practice address
- 115 W Atlas Ave
Oologah, OK 74053-3349 - Phone
- (918) 376-3299
- Fax
- (918) 876-4541
- NPI assigned
- Dec 26, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 109392 | OK | Primary |
Addresses
Primary practice location
115 W Atlas Ave
Oologah, OK 74053-3349
Mailing address
PO Box 622
Oologah, OK 74053-0622
Phone (918) 376-3299
Other names 1
- Kelsey Marie Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109392 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oologah Pediatric Care, PLLC | Pediatrics | Current | Accepting new patients |
| Oologah Pediatric Care PLLC | Pediatrics | Current | Accepting new patients |
Locations
115 W Atlas Ave
Oologah, OK 74053
Phone (918) 376-3299
Interoperability endpoints
- kelsey.lilard@jkp.gwaydirect.com
Organizations & group practices 2
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": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1871009019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 622",
"city": "OOLOGAH",
"state": "OK",
"postal_code": "740530622",
"telephone_number": "918-376-3299",
"fax_number": "918-876-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W ATLAS AVE",
"city": "OOLOGAH",
"state": "OK",
"postal_code": "740533349",
"telephone_number": "918-376-3299",
"fax_number": "918-876-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLARD",
"first_name": "KELSEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APRN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "109392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "BROWN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oologah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.