Colleen Afadama
Individual provider Active NPI Family Nurse Practitioner · Oklahoma City, OK
NPI 1902392483 · NPPES record last updated Dec 29, 2019
Key facts
- NPI
- 1902392483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP137914 (TX)
- Practice address
- 10204 Hawthorn Dr
Oklahoma City, OK 73120-2800 - Phone
- (405) 833-1184
- NPI assigned
- Jul 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.97 of 100
- Quality
- 43.69
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 67.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190326000834 | TX | Practitioner - Nurse Practitioner | 4789924945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care Transportation LLC | Current | Accepting new patients | |
| North Texas Vascular & Varicose | Current |
Accepting new patients | |
| Premier Interventional Pain Management, P.L.L.C | Current |
Accepting new patients | |
| Premier Interventional Pain Management, P.L.L.C | Current |
Accepting new patients |
Locations
2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225
2321 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 350-0225
777 Main St
Ste 100
Frisco, TX 75036
Phone (972) 378-5347
300 S Nolen Dr
Ste 140
Southlake, TX 76092
Phone (817) 488-0410
620 N Kimball Ave
Ste 100
Southlake, TX 76092
Phone (817) 328-8376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137914 | TX | Yes |
Addresses
Primary practice location
10204 Hawthorn Dr
Oklahoma City, OK 73120-2800
Mailing address
10204 Hawthorn Dr
Oklahoma City, OK 73120-2800
Phone (405) 833-1184
Other providers in Oklahoma City, OK
- Advocate Home Health Care Inc
- Advocate Hospice Care LLC
- Aerocare Home Medical Equipment, Inc.
- Katlin Michele Aeschleman
- Aetna Better Health of Oklahoma Inc.
- Melynda Affentranger
- Hagar Affify
- Affiliated Anesthesiologists, Inc
- Affiliated Anesthesiologists, LLC
- Affinity Care of Oklahoma LLC
All providers in Oklahoma City, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.