Individual provider Active NPI

Debra L Perdue, CNS

  • Adult Health Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1962776401
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
64797 Issued in OK
Practice address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone
(405) 752-3962
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 64797 OK Primary

Addresses

Primary practice location

4300 W Memorial Rd
Oklahoma City, OK 73120-8304

Mailing address

4345 W Memorial Rd
Suite 200
Oklahoma City, OK 73134-1702
Phone (405) 936-5686

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
I20140904002192 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 6002034089 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Kingfisher, IncGroup PAC ID 5395970180, 10 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
Kingfisher, OK 73750-5029
Phone (405) 375-3141

Hospital & facility affiliations

  • Mercy Hospital Kingfisher, Inc Hospital, Kingfisher, OK, CCN 371313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Healdton, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Mercy Hospital Tishomingo, Inc CurrentSince Jun 11, 2018 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Mar 9, 2015 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Mercy Hospital Logan County Inc CurrentSince Mar 9, 2015 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 7, 2014 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince Apr 15, 2025 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Aug 1, 2015 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Jan 1, 2019 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1962776401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 W MEMORIAL RD",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341702",
            "telephone_number": "405-936-5686",
            "fax_number": "405-936-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "64797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.