Keely Gayl Phillips, APRN-CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

212878 Issued in OK

Practice address

2424 Springer Dr Ste 300
Norman, OK 73069-3966

Phone

(405) 216-3747

Fax

(405) 339-0377

NPI assigned

Dec 19, 2023

Last updated

May 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Wound Care LLCGroup PAC ID 4486028685, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: ccfgroup.keelyphillips@162329.advancedmd-direct.com

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.

• Mobile Wound Care LLC

  dba On-Site Wounds

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1376240028
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1871361741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SPRINGER DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693966",
            "telephone_number": "405-216-3747",
            "fax_number": "405-339-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SPRINGER DR STE 300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693966",
            "telephone_number": "405-216-3747",
            "fax_number": "405-339-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 24th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730693913",
            "country_code": "US",
            "telephone_number": "405-852-2266",
            "fax_number": "405-920-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KEELY",
        "middle_name": "GAYL",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "212878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James K Philemore
• Andrew Phillips, DO
• Brandie L Phillips, COTA/L
• Jody Phillips, MA, CCC-SLP
• Johnna M Phillips, BS, MS, LPC
• Kimberly Phillips, CPRSS
• Sarah Phillips, RBT
• Savannah Phillips, DO
• Tyler Reed Phillips, MD
• PHP Ok PC (Primary Health Partners)

• Gerontology Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Gerontology Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.

Verify at the official NPI Registry.