Individual provider Active NPI

Anthony Thomas Nye, APRN AG/ACNP-BC

  • Acute Care Nurse Practitioner
  • Sand Springs, OK
National Provider Identifier
1962864850
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95004017 Issued in CA
Practice address
926 N McKinley Ave
Sand Springs, OK 74063-7813
Phone
(918) 978-9978
NPI assigned
Mar 22, 2016
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95004017 CA Primary

Addresses

Primary practice location

926 N McKinley Ave
Sand Springs, OK 74063-7813

Mailing address

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (918) 978-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201021000267 CA Practitioner - Nurse Practitioner 8224458823 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkian Hospitalist CorporationGroup PAC ID 7113310988, 10 clinicians

Practice addresses (Care Compare)

1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (415) 237-3185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004017CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince Nov 1, 2020 Accepting new patients
University of California San Francisco CurrentSince Nov 30, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 30, 2020 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 1, 2020 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Nov 30, 2020 Accepting new patients
University Anesthesia Medical Group CurrentSince Nov 30, 2020 Accepting new patients
University of California San Francisco CurrentSince Nov 30, 2020 Accepting new patients
Clarkian Hospitalist Corporation CurrentSince Nov 21, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
Clarkian Medical CurrentSince Nov 21, 2021 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1146 N Central Ave
Glendale, CA 91202
Phone (818) 500-0910

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1962864850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "918-978-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MCKINLEY AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637813",
            "telephone_number": "918-978-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "ANTHONY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "APRN AG/ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.