Active NPI
Debra L Perdue, CNS
- Adult Health Clinical Nurse Specialist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 64797
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1000 Hospital Dr
Kingfisher, OK 73750-5029
Phone (405) 375-3141
Hospital & facility affiliations
- Mercy Hospital Kingfisher, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Healdton, Inc. | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc. | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Healdton, Inc | Current | Accepting new patients | |
| Mercy Hospital Watonga Inc | Current | Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current | 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.
-
- Diagnostic Radiology Physician
- Kingfisher, OK
- NPI 1285064618
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Healdton, OK
- NPI 1568615656
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Emergency Medicine Physician
- Tishomingo, OK
- NPI 1972809002
-
- Critical Access Hospital
- Watonga, OK
- NPI 1497017529
-
- Rural Health Clinic/Center
- Healdton, OK
- NPI 1437467388
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- Medicare Defined Swing Bed Hospital Unit
- Tishomingo, OK
- NPI 1578868121
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kingfisher, OK
- NPI 1083048417
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.