Individual provider Active NPI

Crystal M Ross-Patton, APRN-BC

  • Family Nurse Practitioner
  • Durant, OK
National Provider Identifier
1891559100
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1133173 Issued in TX
Practice address
63 Fairway Dr
Durant, OK 74701-1777
Phone
(580) 371-5505
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 1133173 TX Primary

Addresses

Primary practice location

63 Fairway Dr
Durant, OK 74701-1777

Mailing address

63 Fairway Dr
Durant, OK 74701-1777
Phone (580) 371-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241010003808 TX Practitioner - Nurse Practitioner 9739611013 Reassigns benefits to 1 organization
I20250606003442 OK Practitioner - Nurse Practitioner 9739611013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Ardmore LLCGroup PAC ID 7214451186, 2 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

2015 W Broadway St
Suite 10B
Ardmore, OK 73401-2621
Phone (580) 359-0184

915 10TH Ave NW
Ardmore, OK 73401-4025
Phone (580) 220-6461

Hospital & facility affiliations

  • Chickasaw Nation Medical Center Hospital, Ada, OK, CCN 370180
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1133173TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation Division of Health Current Accepting new patients
NR Ardmore LLC CurrentSince Jul 7, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Oct 10, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jun 1, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Oct 10, 2024 Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

2015 W Broadway St
Ste 10B
Ardmore, OK 73401
Phone (405) 724-6902

915 10th Ave NW
Ardmore, OK 73401
Phone (580) 220-6461

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Organizations & group practices 5

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 6

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1891559100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FAIRWAY DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747011777",
            "telephone_number": "580-371-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FAIRWAY DR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747011777",
            "telephone_number": "580-371-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-PATTON",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1133173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.