Individual provider Active NPI

Geany Chang, APRN, AGNP-C

  • Gerontology Nurse Practitioner
  • Sand Springs, OK
National Provider Identifier
1982341848
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG02220079 Issued in OK
Practice address
401 E Broadway CT Ste a
Sand Springs, OK 74063-7931
Phone
(918) 794-6008
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG02220079 OK Primary

Addresses

Primary practice location

401 E Broadway CT Ste a
Sand Springs, OK 74063-7931

Mailing address

401 E Broadway CT Ste a
Sand Springs, OK 74063-7931
Phone (918) 794-6008

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
I20220629000873 OK Practitioner - Nurse Practitioner 2062892680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pmo Medical PLLCGroup PAC ID 1153603832, 11 clinicians

Practice addresses (Care Compare)

401 E Broadway CT
Suite a Pain Management of Oklahoma
Sand Springs, OK 74063-7931
Phone (918) 794-6008

Merit-based Incentive Payment System (MIPS)

Final score
77.19 of 100Reported as group
Quality
47.27
Improvement activities
40
Cost
63.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG02220079OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pmo Medical PLLC CurrentSince Jun 15, 2022 Accepting new patients
Pmo Medical PLLC CurrentSince Jun 15, 2022 Accepting new patients

Locations

1751 N Aspen Ave
Broken Arrow, OK 74012
Phone (561) 420-4453

1201 E Wade Watts Ave
McAlester, OK 74501

555 W Ruth Ave
Sallisaw, OK 74955
Phone (918) 774-0147

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1982341848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BROADWAY CT STE A",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637931",
            "telephone_number": "918-794-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BROADWAY CT STE A",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637931",
            "telephone_number": "918-794-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GEANY",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "AG02220079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.