NPIMap

Organization Active NPI

Karefirst Oklahoma PC

  • Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1932935251
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KAREFIRST OKLAHOMA PC
Practice address
4300 W Houston St
Broken Arrow, OK 74012-4519
Phone
(847) 235-6130
Fax
(847) 235-6135
NPI assigned
Sep 12, 2024
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Kimberly Wilson, RN, APN, MSNNPI 1538451141
Title
President
Phone
(773) 552-1243

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
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

4300 W Houston St
Broken Arrow, OK 74012-4519

Mailing address

6348 N Milwaukee Ave Ste 390
Chicago, IL 60646-3728
Phone (847) 235-6130

Other practice location 1

205 E Poplar St
Fort Gibson, OK 74434-8272
Phone (847) 235-6130

Other practice location 2

315 W Electric Ave
McAlester, OK 74501-3600
Phone (847) 235-6130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010001356 OK Part B Supplier - Clinic/Group Practice 1456883891 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Gibson, OK; Tulsa, OK; Seminole, OK; Oklahoma City, OK; Muskogee, OK; McAlester, OK; Henryetta, OK; Coweta, OK…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1932935251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 N MILWAUKEE AVE STE 390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124519",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Poplar St",
            "address_purpose": "LOCATION",
            "city": "Fort Gibson",
            "state": "OK",
            "postal_code": "744348272",
            "country_code": "US",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W Electric Ave",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745013600",
            "country_code": "US",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAREFIRST OKLAHOMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-552-1243",
        "authorized_official_credential": "RN, APN, MSN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.