Individual provider Active NPI

Rachael Nicole Flynn, FNP-BC

  • Family Nurse Practitioner
  • Eufaula, OK
National Provider Identifier
1962236125
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221283 Issued in OK
Practice address
218 N Main St
Eufaula, OK 74432-1633
Phone
(918) 689-7705
NPI assigned
Aug 29, 2024
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906911 MS
Family Nurse Practitioner 363LF0000X 221283 OK Primary

Addresses

Primary practice location

218 N Main St
Eufaula, OK 74432-1633

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

1251 W Houston St
Broken Arrow, OK 74012-3734
Phone (539) 367-4500

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
I20250107002915 OK Practitioner - Nurse Practitioner 4385172188 Reassigns benefits to 2 organizations

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
AMC Medical Clinic I LLCGroup PAC ID 6901235563, 12 clinicians

Practice addresses (Care Compare)

218 N Main St
Eufaula, OK 74432-1633
Phone (918) 689-7705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906911MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Medical Clinic I LLC CurrentSince Jan 4, 2025 Accepting new patients
Signify Health, LLC CurrentSince Dec 7, 2025 Accepting new patients
Parks Edge Care Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Lena Family Medical, Inc. PastSince Sep 1, 2024 Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1251 W Houston St
Broken Arrow, OK 74012
Phone (539) 367-4500

218 N Main St
Eufaula, OK 74432
Phone (918) 689-7705

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21087/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rachael.flynn.1@21087.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1962236125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321633",
            "telephone_number": "918-689-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 W Houston St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740123734",
            "country_code": "US",
            "telephone_number": "539-367-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "RACHAEL",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "221283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

Verify at the official NPI Registry.