Kacy Lynn Aderhold, APRN-CNS
Individual provider Active NPI Nurse Practitioner · Oklahoma City, OK
NPI 1962887653 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1962887653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 85889 (OK)
- Practice address
- 1000 N Lincoln Blvd
Oklahoma City, OK 73104-3252 - Phone
- (405) 271-1000
- Fax
- (000) 000-0000
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ou Health Partners Inc
Practice addresses (Care Compare)
1000 N Lincoln Blvd
Oklahoma City, OK 73104-3252
900 NE 10TH St
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015002190 | OK | Practitioner - Nurse Practitioner | 7113236043 | Reassigns benefits to 1 organization |
| I20210330000576 | OK | Practitioner - Certified Clinical Nurse Specialist (CNS) | 7113236043 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85889 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Ou Health Partners, Inc | Current |
Accepting new patients | |
| Ou Health Partners, Inc | Current |
Accepting new patients |
Locations
1000 N Lincoln Blvd
Ste 3400
Oklahoma City, OK 73104
Phone (405) 271-1000
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1122 NE 13th St
#274
Oklahoma City, OK 73117
1000 N Lincoln Blvd
Oklahoma City, OK 73104
Phone (405) 232-8696
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 85889 | OK | Yes |
Addresses
Primary practice location
1000 N Lincoln Blvd
Oklahoma City, OK 73104-3252
Mailing address
1000 N Lincoln Blvd
Oklahoma City, OK 73104-3252
Phone (405) 271-1000
Other providers in Oklahoma City, OK
- Vivien Adeleye
- Lawrence Ademiluyi
- Apiyo Adenya
- Adejoke Adelanke Adeoba
- Samuel Israel Adeoye
- Comfort Wuraola Adesida
- Ademilola Serena Adeyemi
- Comfort Olufunke Adeyemi
- Abiodun Kafayat Adeyiga
- Oyeyemi A Adeyiga
All providers in Oklahoma City, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.