Sammi Noel Nance, APRN
Individual provider Active NPI Nurse Practitioner · Bristow, OK
NPI 1972139558 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1972139558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 96468 (OK)
- Practice address
- 700 W 7TH Ave Ste 104
Bristow, OK 74010-2302 - Phone
- (918) 367-8818
- Fax
- (918) 367-8820
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1145 S Utica Ave
Suite 110
Tulsa, OK 74104-4013
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
700 W 7TH Ave
Suite 104
Bristow, OK 74010-2302
Hospital & facility affiliations
- Hillcrest Hospital South
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, NM
- 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 |
|---|---|---|---|---|
| I20200616000072 | OK | Practitioner - Nurse Practitioner | 7517389851 | Reassigns benefits to 2 organizations |
| I20231104000352 | NM | Practitioner - Nurse Practitioner | 7517389851 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Southwest Medical Associates, LLC | Family Medicine | Current |
Accepting new patients |
| Southwest Medical Associates, LLC | Family Medicine | Current |
Accepting new patients |
| Hillcrest Urgent Care, LLC | Current |
Accepting new patients |
Locations
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
1623 S Utica Ave
Tulsa, OK 74104
Phone (918) 392-5100
Dept 2184
Tulsa, OK 74182
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- skreps110077@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 96468 | OK | Yes |
Addresses
Primary practice location
700 W 7TH Ave Ste 104
Bristow, OK 74010-2302
Mailing address
1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825
Other providers in Bristow, OK
- Lacey Lockwood
- Colleen Matlock
- Amber Dawn McGuire
- Jennifer Morgan
- Oma Kay Murray
- Elizabeth Norwood
- Osu Center for Health Sciences
- Outside the Box Speech Services, LLC
- Angi Palmer-Manire
- Jay Wade Pettit
All providers in Bristow, 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 Jun 30, 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.