Mary Kathryn Machado, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0073365 Issued in OK

Practice address

207 W 1St St
Wewoka, OK 74884-2103

Phone

(405) 257-5422

Fax

(405) 257-5463

NPI assigned

Jan 5, 2007

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Kathryn Mason Former name

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Oklahoma Family Health Center, Inc.Group PAC ID 3779643994, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
• Holdenville General Hospital Hospital, Holdenville, OK, CCN 371321

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• East Central Oklahoma Family Health Center, Inc.

  dba East Central Oklahoma Family Health Center, Inc. Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Wetumka, OK
  • NPI 1316196546
  Medicare reassignment Care Compare group NPD
• Paradigm Healthcare

  • Family Nurse Practitioner
  • Seminole, OK
  • NPI 1144471236
  NPD Authorized official
• East Central Oklahoma Family Health Center, Inc.

  dba ECO Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Wewoka, OK
  • NPI 1093184145
  NPD
• East Central Oklahoma Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Henryetta, OK
  • NPI 1639636657
  NPD
• Coal County General Hospital

  dba Mary Hurley Hospital

  • Critical Access Hospital
  • Coalgate, OK
  • NPI 1629077227
  NPD (past)
• Ross Enterprises Inc

  dba PrimaryCare of Ada

  • Family Nurse Practitioner
  • Ada, OK
  • NPI 1487012100
  NPD (past)
• Wieck Medical Management PC

  • Family Medicine Physician
  • Seminole, OK
  • NPI 1720145584
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holdenville Hospital Authority

  dba Holdenville General Hospital

  • Critical Access Hospital
  • Holdenville, OK
  • NPI 1265851455
  Care Compare affiliation
• St Anthony Shawnee Hospital Inc

  dba St Anthony Shawnee Hospital

  • General Acute Care Hospital
  • Shawnee, OK
  • NPI 1134123193
  Care Compare affiliation

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1942357215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748830236",
            "telephone_number": "405-257-5422",
            "fax_number": "405-257-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 1ST ST",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748842103",
            "telephone_number": "405-257-5422",
            "fax_number": "405-257-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wetumka",
            "state": "OK",
            "postal_code": "748834015",
            "country_code": "US",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W Main St",
            "address_purpose": "LOCATION",
            "city": "Henryetta",
            "state": "OK",
            "postal_code": "744374232",
            "country_code": "US",
            "telephone_number": "918-652-9615",
            "fax_number": "918-652-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 E Shurden Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Henryetta",
            "state": "OK",
            "postal_code": "744377323",
            "country_code": "US",
            "telephone_number": "918-652-9614",
            "fax_number": "918-652-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0073365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MASON",
            "middle_name": "KATHRYN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Wiley Jones
• Domika Kinman, CDA, RDH
• Lynnette Erin Lena
• Amanda Lenora
• Shannon Lowe, PHARMD
• John Russell Martin, D.PH.
• Gregory Donald McLain, O.D.
• Walter McPheeters
• Robert Adarme Montanez, PHARM D
• Katherine Danielle Montgomery, DDS

• Family Nurse Practitioner in Wewoka, OK
• Providers in Wewoka, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.