Individual provider Active NPI

Brandi Suzanne Shell, APRN, FNP-C

  • Family Nurse Practitioner
  • Sapulpa, OK
National Provider Identifier
1952916645
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0116063 Issued in OK
Practice address
303 E Taft Ave Ste 3
Sapulpa, OK 74066-5655
Phone
(918) 224-2222
Fax
(918) 224-2227
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 116063 OK
Family Nurse Practitioner 363LF0000X R0116063 OK Primary

Addresses

Primary practice location

303 E Taft Ave Ste 3
Sapulpa, OK 74066-5655

Mailing address

303 E Taft Ave Ste 3
Sapulpa, OK 74066-5655
Phone (918) 224-2222

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
I20201210000546 OK Practitioner - Nurse Practitioner 6901218296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prophylaxis Healthcare LLCGroup PAC ID 3072784289, 26 clinicians

Practice addresses (Care Compare)

2036 S Miller LN
F Xpress Wellness Urgent Care
Catoosa, OK 74015-1539
Phone (918) 739-4552

303 E Taft Ave
3 Axis Healthcare Sapulpa
Sapulpa, OK 74066-5651
Phone (918) 224-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116063OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

503 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 286-6331

2036 S Miller Ln
Ste F
Catoosa, OK 74015
Phone (918) 286-6331

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Organizations & group practices 3

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1952916645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E TAFT AVE STE 3",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665655",
            "telephone_number": "918-224-2222",
            "fax_number": "918-224-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E TAFT AVE STE 3",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740665655",
            "telephone_number": "918-224-2222",
            "fax_number": "918-224-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "BRANDI",
        "middle_name": "SUZANNE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "116063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0116063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.