Individual provider Active NPI

Allison Staley, DNP

  • Family Nurse Practitioner
  • Choctaw, OK
National Provider Identifier
1992423420
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209899 Issued in OK
Practice address
1664 S Choctaw Rd
Choctaw, OK 73020-6766
Phone
(405) 281-2144
NPI assigned
Aug 19, 2022
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 209899 OK Primary

Addresses

Primary practice location

1664 S Choctaw Rd
Choctaw, OK 73020-6766

Mailing address

1664 S Choctaw Rd
Choctaw, OK 73020-6766
Phone (405) 281-2144

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
I20221108000797 OK Practitioner - Nurse Practitioner 0648647412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

5700 SE 74TH St
Suite 100
Oklahoma City, OK 73135-1087
Phone (405) 600-6869

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care of Oklahoma LLC CurrentSince Sep 29, 2024 Accepting new patients
Norman Regional Providers Primary Care CurrentSince Jan 23, 2024 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Sep 6, 2022 Accepting new patients
Immediate Care of Oklahoma, LLC CurrentSince May 20, 2024 Accepting new patients
Immediate Care of Oklahoma CurrentSince May 20, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1664 S Choctaw Rd
Choctaw, OK 73020
Phone (405) 281-2144

1664 S Choctaw Rd
Ste 101
Choctaw, OK 73020
Phone (405) 281-2144

2821 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 515-2049

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

5700 SE 74th St
Ste 100
Oklahoma City, OK 73135
Phone (405) 400-1096

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1992423420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S CHOCTAW RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206766",
            "telephone_number": "405-281-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S CHOCTAW RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730206766",
            "telephone_number": "405-281-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "ALLISON",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-09-27",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

Verify at the official NPI Registry.