Individual provider Active NPI

Marina Nicole Garrison, APRN-NPC

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1902207798
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
99325 Issued in OK
Practice address
104 NW 31St St
Lawton, OK 73505-6100
Phone
(580) 536-2121
Fax
(580) 536-2150
NPI assigned
Sep 11, 2014
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 99325 OK Primary

Addresses

Primary practice location

104 NW 31St St
Lawton, OK 73505-6100

Mailing address

104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121

Other practice location 1

2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 224-8111 ext. 584

Other practice location 2

3428 NW Cache Rd
Lawton, OK 73505-3846
Phone (580) 595-7207

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
I20141014000195 OK Practitioner - Nurse Practitioner 6204056385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.44 of 100Reported as group
Quality
82.93
Promoting interoperability
87
Improvement activities
40
Cost
48.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Centers of Southwest Oklahoma, LLC Current Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC CurrentSince Jun 1, 2021 Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC CurrentSince Jun 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1200 E Broadway St
Altus, OK 73521
Phone (580) 379-6000

2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937

104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121

Organizations & group practices 4

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 3

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1902207798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW 31ST ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-536-2121",
            "fax_number": "580-536-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW 31ST ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-536-2121",
            "fax_number": "580-536-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-224-8111 x584",
            "fax_number": "405-574-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3428 NW Cache Rd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735053846",
            "country_code": "US",
            "telephone_number": "580-595-7207",
            "fax_number": "580-595-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "MARINA",
        "middle_name": "NICOLE",
        "credential": "APRN-NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "99325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.