Individual provider Active NPI

David Deloera, RN MSN, AACNS-AG

  • Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1881171536
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
99089 Issued in OK
Practice address
5710 NW 130TH St
Oklahoma City, OK 73142-6003
Phone
(405) 603-6928
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 99089 OK Primary

Addresses

Primary practice location

5710 NW 130TH St
Oklahoma City, OK 73142-6003

Mailing address

3366 NW Expressway Ste 550
Oklahoma City, OK 73112-4489
Phone (405) 408-9770

Other identifiers 1

IdentifierTypeStateIssuer
99089OtherOKSTATE OF OK RN LICENSE

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
I20180928002283 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 2961753041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

4219 S Western Ave
Integris Southwest Rehabilitation
Oklahoma City, OK 73109-3410
Phone (405) 644-5256

5501 N Portland
Select Specialty Hosp West
Oklahoma City, OK 73112-2074
Phone (405) 951-4016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
99089OKMDNephrology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Jun 6, 2022 Accepting new patients
Kidney Specialists of Central Oklahoma, PC CurrentSince Sep 1, 2018 Accepting new patients

Locations

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3366 NW Expressway St
Ste 550
Oklahoma City, OK 73112
Phone (405) 942-5442

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1881171536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124489",
            "telephone_number": "405-408-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 NW 130TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731426003",
            "telephone_number": "405-603-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOERA",
        "first_name": "DAVID",
        "credential": "RN MSN, AACNS-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "99089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OK RN LICENSE",
            "identifier": "99089",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.