Active NPI
Kylee McCollough, FNP-C
- Family Nurse Practitioner
- Enid, OK
National Provider Identifier
1962201715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 222410
- Practice address
- 108 W Randolph Ave
Enid, OK 73701-4005 - Phone
- (580) 402-8600
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 222410 | OK | Primary |
Addresses
Primary practice location
108 W Randolph Ave
Enid, OK 73701-4005
Mailing address
3801 Whippoorwill LN
Enid, OK 73703-1480
Phone (580) 729-0955
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3209 S Broadway
Suite 229
Edmond, OK 73013-4064
Phone (551) 295-8223
Hospital & facility affiliations
- Angels Care Home Health of Oklahoma
- Elara Caring V
- Angels Care Home Health of East Oklahoma
- St Mary'S Regional Medical Center
- Memorial Health
- Duncan Regional Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mills Family Clinic, PLLC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current | Accepting new patients | |
| Ennoble HC NJ II PC | Current | Accepting new patients | |
| Ennoble HC NJ PC | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223
108 W Randolph Ave
Enid, OK 73701
Phone (580) 278-6804
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Enid, OK
- NPI 1285379909
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
OK
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1093710287
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
- Home Health Agency
- Enid, OK
- NPI 1104997188
-
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
-
- Home Health Agency
- Allen, TX
- NPI 1851361166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1962201715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WHIPPOORWILL LN",
"city": "ENID",
"state": "OK",
"postal_code": "737031480",
"telephone_number": "580-729-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W RANDOLPH AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737014005",
"telephone_number": "580-402-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLLOUGH",
"first_name": "KYLEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "222410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.