Active NPI
Wendy Denise Madison, CNP
- Primary Care Nurse Practitioner
- Hominy, OK
National Provider Identifier
1891166864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 84648
- Practice address
- 119 W Main St
Hominy, OK 74035-1031 - Phone
- (918) 885-4640
- Fax
- (918) 885-4644
- NPI assigned
- Oct 15, 2015
- Last updated
- Dec 28, 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 84648 | OK | Primary |
Addresses
Primary practice location
119 W Main St
Hominy, OK 74035-1031
Mailing address
119 W Main St
Hominy, OK 74035-1031
Phone (918) 885-4640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200614820 A | Medicaid | OK | |
| 449026YRHZ | Other | OK | MEDICARE PTAN |
Other names 1
- Wendy Smith
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 W Hwy 64
Morrison, OK 73061-9494
Phone (580) 724-8370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Medical Facilities, Inc. | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Fairfax Medical Facilities Inc | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Past | Accepting new patients | |
| Stillwater Medical Center Physicians | Past | Accepting new patients |
Locations
212 N Main St
Fairfax, OK 74637
Phone (918) 642-3100
119 W Main St
Hominy, OK 74035
Phone (918) 497-8138
300 Boulder St
Ste 101
Pawnee, OK 74058
Phone (918) 762-2522
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGHIAA
- wendy.madison.p1@direct.smc.nextgenshare.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
-
dba Robert Clark Family Health Center
- Federally Qualified Health Center (FQHC)
- Fairfax, OK
- NPI 1538183173
-
dba Ponca City Family Health Center
- Federally Qualified Health Center (FQHC)
- Ponca City, OK
- NPI 1316747017
-
dba Stillwater Family Medical of Perry
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
- Anesthesiology Physician
- Stillwater, OK
- NPI 1295859387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Area Hospital
- Critical Access Hospital
- Cleveland, OK
- NPI 1427295872
-
dba Stillwater Medical Center
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1891166864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W MAIN ST",
"city": "HOMINY",
"state": "OK",
"postal_code": "740351031",
"telephone_number": "918-885-4640",
"fax_number": "918-885-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W MAIN ST",
"city": "HOMINY",
"state": "OK",
"postal_code": "740351031",
"telephone_number": "918-885-4640",
"fax_number": "918-885-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "WENDY",
"middle_name": "DENISE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "84648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200614820 A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "449026YRHZ",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "SMITH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hominy, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.