Individual provider Active NPI

Mary Ann Buchanan, FNP-C

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1942015946
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
221587 Issued in OK
Practice address
2488 E 81St St Ste 2000
Tulsa, OK 74137-4224
Phone
(918) 592-9020
NPI assigned
Feb 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 1184001 TX
Nurse Practitioner 363L00000X 221587 OK Primary

Addresses

Primary practice location

2488 E 81St St Ste 2000
Tulsa, OK 74137-4224

Mailing address

2488 East 81St Street
Suite 2000
Tulsa, OK 74137-4290

Other practice location 1

4722 Taft Blvd Ste 4
Wichita Falls, TX 76308-4800
Phone (940) 234-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260602004460 TX Practitioner - Nurse Practitioner 9335610153 Reassigns benefits to 1 organization
I20260602004562 OK Practitioner - Nurse Practitioner 9335610153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Wound Care LLCGroup PAC ID 0143674465, 17 clinicians

Practice addresses (Care Compare)

2222 Shadowlake Dr
Oklahoma City, OK 73159-7440
Phone (405) 554-3344

4616 US Hwy 75
Suite 190
Denison, TX 75020-4582
Phone (405) 315-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
221587OKMDNurse Practitioner
1184001TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Therapy-TX, PLLC PastSince Aug 3, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1942015946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 EAST 81ST STREET",
            "address_2": "SUITE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374224",
            "telephone_number": "918-592-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4722 Taft Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763084800",
            "country_code": "US",
            "telephone_number": "940-234-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1184001",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "221587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.