Individual provider Active NPI

Terrie Lynn Terrell, RN

  • Registered Nurse
  • Edmond, OK
National Provider Identifier
1891205209
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
32079 Issued in OK
Practice address
5713 Northwood Dr
Edmond, OK 73034-9228
Phone
(405) 706-8212
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 32079 OK Primary

Addresses

Primary practice location

5713 Northwood Dr
Edmond, OK 73034-9228

Mailing address

5713 Northwood Dr
Edmond, OK 73034-9228
Phone (405) 706-8212

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
I20171113002372 OK Practitioner - Nurse Practitioner 0244325108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

3433 NW 56TH St
Suite 400
Oklahoma City, OK 73112-4430
Phone (405) 947-3341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32079OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC CurrentSince Oct 23, 2017 Accepting new patients
Venerate Home Health Express LLC PastSince Feb 6, 2007 Accepting new patients

Locations

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Ste 580
Oklahoma City, OK 73112
Phone (405) 917-3518

3433 NW 56th St
Ste 800
Oklahoma City, OK 73112
Phone (405) 946-9831

3433 NW 56th St
Ste 760
Oklahoma City, OK 73112
Phone (405) 948-0640

3433 NW 56th St
Ste 660
Oklahoma City, OK 73112
Phone (405) 947-3341

Interoperability endpoints

  • Direct secure messaging: tterrell141304@direct.integrisok.com

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1891205209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 NORTHWOOD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349228",
            "telephone_number": "405-706-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 NORTHWOOD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349228",
            "telephone_number": "405-706-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TERRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "32079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.