Active NPI
Kristy Miller, APRN-CNP
- Family Nurse Practitioner
- Moore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 92556
- Practice address
- 1401 SW 34TH St Ste 200
Moore, OK 73160-3059 - Phone
- (405) 793-1188
- Fax
- (405) 793-0492
- NPI assigned
- Jun 2, 2014
- Last updated
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 92556 | OK | Primary |
Addresses
Primary practice location
1401 SW 34TH St Ste 200
Moore, OK 73160-3059
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 793-1188
Other names 1
- Kristy Schaefer
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
Enrollment records 1
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)
1401 SW 34TH St
Suite 200
Moore, OK 73160-3059
Phone (405) 793-1188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92556 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Integris Ambulatory Care C Orporation | Past | Accepting new patients |
Locations
1401 SW 34th St
Ste 200
Moore, OK 73160
Phone (405) 793-1188
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
Interoperability endpoints
- kmiller193581@direct.integrisok.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
dba ProHealth Physicians
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1326076027
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Integris Southwest Breast Center
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
dba Integris Jim Thorpe Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
dba Integris Health Southwest Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1912319534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE STE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125555",
"telephone_number": "405-793-1188",
"fax_number": "405-793-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SW 34TH ST STE 200",
"city": "MOORE",
"state": "OK",
"postal_code": "731603059",
"telephone_number": "405-793-1188",
"fax_number": "405-793-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTY",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "92556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "SCHAEFER",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.