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

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

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 and National Provider Directory roles.

• Mobile Wound Care LLC

  • 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

• 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.