Individual provider Active NPI

Chellie Rae Clingan, APRN,FNP-C

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1912333196
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0059052 Issued in OK
Practice address
3651 West Robinson
Norman, OK 73072
Phone
(866) 389-2727
NPI assigned
Sep 19, 2013
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0059052 OK
Family Nurse Practitioner 363LF0000X 0059052 OK Primary

Addresses

Primary practice location

3651 West Robinson
Norman, OK 73072

Mailing address

3707 Hidden Hill Rd
Norman, OK 73072-3027

Other identifiers 1

IdentifierTypeStateIssuer
R0059052OtherOK363LF0000X

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
I20131220001359 OK Practitioner - Nurse Practitioner 7810124773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians
Icare Center LLCGroup PAC ID 0840555777, 28 clinicians

Practice addresses (Care Compare)

1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

21001 SE 29TH St
Harrah, OK 73045-6591
Phone (405) 391-5526

5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0059052OKMDFamily Nurse Practitioner
R0059052OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emergency Medical Center Inc CurrentSince Dec 14, 2024 Accepting new patients
Medical Resource Management, LLC CurrentSince Dec 14, 2024 Accepting new patients
Icare Center LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • Direct secure messaging: chellie.clinganfnp.d1.p10@direct.nextcare.nextgenshare.com
  • Direct secure messaging: chellie.clinganfnp.p8@direct.nextcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1912333196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 HIDDEN HILL RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WEST ROBINSON",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "CHELLIE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0059052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0059052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "363LF0000X",
            "identifier": "R0059052",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.