Individual provider Active NPI

Kimberly Fuxa, APRN

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1982371290
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0109160 Issued in OK
Practice address
501 E 15TH St Ste 300a
Edmond, OK 73013-5035
Phone
(405) 906-4020
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0109160 OK Primary

Addresses

Primary practice location

501 E 15TH St Ste 300a
Edmond, OK 73013-5035

Mailing address

501 E 15TH St Ste 300a
Edmond, OK 73013-5035
Phone (405) 906-4020

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
I20220222000338 OK Practitioner - Nurse Practitioner 6507250339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Align Interventional Pain PLLCGroup PAC ID 7315325180, 5 clinicians

Practice addresses (Care Compare)

1810 E Memorial Rd
Suite B
Oklahoma City, OK 73131-1238
Phone (405) 906-4020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0109160OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Align Interventional Pain, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Align Interventional Pain, PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

501 E 15th St
Ste 300A
Edmond, OK 73013
Phone (405) 285-5616

102 S Van Buren St
Ste 2
Enid, OK 73703
Phone (580) 242-7030

102 S Van Buren St
Enid, OK 73703
Phone (405) 694-7273

1810 E Memorial Rd
Ste B
Oklahoma City, OK 73131
Phone (405) 906-4020

1810 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 285-8315

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/326323/r4

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1982371290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST STE 300A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135035",
            "telephone_number": "405-906-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST STE 300A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135035",
            "telephone_number": "405-906-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUXA",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-10-06",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0109160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.