Organization Active NPI

Total Family Healthcare Clinic PLLC

  • Family Nurse Practitioner
  • Idabel, OK
National Provider Identifier
1912713348
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TOTAL FAMILY HEALTHCARE CLINIC PLLC
Practice address
2103 E Washington St
Idabel, OK 74745-7861
Phone
(580) 212-9872
NPI assigned
Dec 10, 2024
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Mrs. Melissa A Pierce, APRN FNP-CNPI 1780157396
Title
Owner
Phone
(580) 212-9872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2103 E Washington St
Idabel, OK 74745-7861

Mailing address

2103 E Washington St
Idabel, OK 74745-7861
Phone (580) 286-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819001031 OK Part B Supplier - Clinic/Group Practice 8527567304 Receives reassigned benefits from 1 practitioner
Practice locations: Idabel, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2322288Total Family Healthcare Clinic PLLC2103 E Washington, Idabel, OK 74745Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Locations

2103 E Washington St
Idabel, OK 74745
Phone (580) 286-2299

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEIDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1912713348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457861",
            "telephone_number": "580-286-2299",
            "fax_number": "888-355-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457861",
            "telephone_number": "580-212-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY HEALTHCARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-212-9872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.