Individual provider Active NPI

Serena Brooke Wilson, ARNP

  • Family Nurse Practitioner
  • Miami, OK
National Provider Identifier
1881946259
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89085 Issued in OK
Practice address
828 A St NW
Miami, OK 74354-4605
Phone
(918) 999-9339
Fax
(918) 238-9990
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 89085 OK Primary

Addresses

Primary practice location

828 A St NW
Miami, OK 74354-4605

Mailing address

58700 E 190 Rd
Fairland, OK 74343-2500
Phone (918) 961-1658

Other practice location 1

21 W Central Ave
Miami, OK 74354-6815
Phone (918) 542-3900

Other identifiers 2

IdentifierTypeStateIssuer
200468380CMedicaidOK
200461260AMedicaidOK

Other names 1

  • Serena Compton Former name

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
I20130218000420 OK Practitioner - Nurse Practitioner 8325292519 Reassigns benefits to 2 organizations
Practice locations: Grove, OK

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians
Vital Health Alliance GroupGroup PAC ID 6800323759, 2 clinicians

Practice addresses (Care Compare)

12 E Macarthur St
Xpress Wellness Urgent Care
Shawnee, OK 74804-2135
Phone (405) 275-1001

220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355

2518 N Main St
Xpress Wellness Urgent Care
Miami, OK 74354-1602
Phone (918) 540-9077

2525 Chandler Rd
Muskogee, OK 74403-5088
Phone (918) 681-7533

7127 S Olympia Ave
Xpress Wellness Urgent Care
Tulsa, OK 74132-1856
Phone (918) 665-9500

828 A St NW
Miami, OK 74354-4605
Phone (918) 999-9339

Hospital & facility affiliations

  • Integris Miami Hospital Hospital, Miami, OK, CCN 370004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Medical and Wellness Corp CurrentSince Sep 28, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2021 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2021 Accepting new patients
Vital Health Alliance Group Current Accepting new patients
Vital Health Alliance Group CurrentSince Jul 11, 2024 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Dermatology & Allergy Solutions LLC PastSince Oct 15, 2019 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Integris Miami Hospital Past Accepting new patients

Locations

503 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 286-6331

2036 S Miller Ln
Ste F
Catoosa, OK 74015
Phone (918) 286-6331

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2104 S Main St
Grove, OK 74344
Phone (918) 964-7071

828 A St NW
Miami, OK 74354
Phone (918) 542-7645

550 W Shawnee St
Muskogee, OK 74401
Phone (908) 910-5186

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31612/brand/1/csg/1/fhir/r4
  • Direct secure messaging: serena.wilson.1@31612.direct.athenahealth.com
  • Direct secure messaging: painmanagementofforthsmith.serenawilson@139236.advancedmd-direct.com

Organizations & group practices 10

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 2

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1881946259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58700 E 190 RD",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "743432500",
            "telephone_number": "918-961-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 A ST NW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743544605",
            "telephone_number": "918-999-9339",
            "fax_number": "918-238-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546815",
            "country_code": "US",
            "telephone_number": "918-542-3900",
            "fax_number": "918-542-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SERENA",
        "middle_name": "BROOKE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468380C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200461260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "COMPTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.