NPIMap

Individual provider Active NPI

Berkley Reece Faulkner, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Duncan, OK
National Provider Identifier
1891531745
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204693 Issued in OK
Practice address
2945 W Elk Ave
Duncan, OK 73533-2075
Phone
(580) 252-3400
NPI assigned
Jul 1, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 204693 OK Primary
Nurse Practitioner 363L00000X 204693 OK

Addresses

Primary practice location

2945 W Elk Ave
Duncan, OK 73533-2075

Mailing address

7810 Saugeye Dr
Marlow, OK 73055-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240824000175 OK Practitioner - Nurse Practitioner 4486193281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Oklahoma College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Practice ManagementGroup PAC ID 5698840775, 21 clinicians
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

1401 Duncan Regional Loop
Duncan, OK 73533-1594
Phone (580) 252-0100

2915 W Elk Ave
Duncan, OK 73533-1541
Phone (580) 252-3400

8148 State Hwy 17
Elgin, OK 73538-9010
Phone (580) 454-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Practice Management CurrentSince Sep 1, 2024 Accepting new patients
Solutions Practice Management CurrentSince Sep 1, 2024 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients

Locations

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

2945 W Elk Ave
Duncan, OK 73533
Phone (580) 252-3400

2945 W Elk Ave
Ste 100
Duncan, OK 73533
Phone (580) 252-3400

8148 State Highway 17
Elgin, OK 73538
Phone (580) 454-2273

Interoperability endpoints

  • Direct secure messaging: berkley.faulkner@direct.drhhealth.org

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.

Hospital & facility affiliations 11

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1891531745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 SAUGEYE DR",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730557207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735332075",
            "telephone_number": "580-252-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "BERKLEY",
        "middle_name": "REECE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204693",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "204693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.