Individual provider Active NPI

Stephanie Nicole Beasley, APRN

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1932610383
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110038 Issued in OK
Practice address
1 S Bryant Ave
Edmond, OK 73034-6309
Phone
(405) 359-5370
NPI assigned
Oct 12, 2017
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110038 OK Primary
Acute Care Nurse Practitioner 363LA2100X 110038 OK

Addresses

Primary practice location

1 S Bryant Ave
Edmond, OK 73034-6309

Mailing address

3109 N Meridian CT
Oklahoma City, OK 73122-1416
Phone (405) 831-2810

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
I20180212001720 OK Practitioner - Nurse Practitioner 3375803315 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Wound Care LLCGroup PAC ID 7315471422, 5 clinicians

Practice addresses (Care Compare)

1211 N Shartel Ave
Suite 408
Oklahoma City, OK 73103-2400
Phone (405) 835-3428

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110038OKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Healthcare Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Optimum Care Hospitalist Group PLLC CurrentSince Feb 1, 2018 Accepting new patients
Emergency Physicians of Midwest City, LLC CurrentSince Nov 1, 2022 Accepting new patients
Metro Physicians LLC CurrentSince Jun 7, 2024 Accepting new patients
Cypress Wound Care LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1211 N Shartel Ave
Ste 408
Oklahoma City, OK 73103
Phone (405) 835-3428

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: sbeasley235176@direct-ehr-ssmhc.com

Organizations & group practices 6

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1932610383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 N MERIDIAN CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731221416",
            "telephone_number": "405-831-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346309",
            "telephone_number": "405-359-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "110038",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "110038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.