Individual provider Active NPI

Alysa Kay Pressnall, APRN

  • Family Nurse Practitioner
  • Ponca City, OK
National Provider Identifier
1902470834
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201767 Issued in OK
Practice address
2101 N 14TH St Ste 114
Ponca City, OK 74601-1807
Phone
(580) 762-1552
NPI assigned
May 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 201767 OK Primary

Addresses

Primary practice location

2101 N 14TH St Ste 114
Ponca City, OK 74601-1807

Mailing address

1931 Turner St
Ponca City, OK 74604-2731
Phone (580) 716-1875

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
I20211007000210 OK Practitioner - Nurse Practitioner 4183022080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Urgent Care Plus, LLC CurrentSince May 25, 2021 Accepting new patients
Ponca City Immediate Care, LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

2101 N 14th St
Ste 114
Ponca City, OK 74601
Phone (580) 762-1552

1201 E Hartford Ave
Ponca City, OK 74601
Phone (580) 762-1911

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1902470834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 TURNER ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042731",
            "telephone_number": "580-716-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N 14TH ST STE 114",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011807",
            "telephone_number": "580-762-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSNALL",
        "first_name": "ALYSA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.