Individual provider Active NPI

Mariah Jo Harmon, APRN

  • Nurse Practitioner
  • Woodward, OK
National Provider Identifier
1992464978
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
204825 Issued in OK
Practice address
900 17TH St BSMT
Woodward, OK 73801-2448
Phone
(580) 254-8190
Fax
(580) 254-8191
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 204825 OK Primary

Addresses

Primary practice location

900 17TH St BSMT
Woodward, OK 73801-2448

Mailing address

900 17TH St BSMT
Woodward, OK 73801-2448
Phone (580) 254-8190

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
I20220124001955 OK Practitioner - Nurse Practitioner 4789076704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Oklahoma PLLCGroup PAC ID 2264758705, 20 clinicians

Practice addresses (Care Compare)

900 17TH St
Woodward, OK 73801-2448
Phone (580) 254-8190

Hospital & facility affiliations

  • Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002
  • Newman Memorial Hospital Hospital, Shattuck, OK, CCN 371336

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
61.08
Promoting interoperability
99
Improvement activities
40
Cost
57

Merit-based Incentive Payment System (MIPS)

Final score
60.58 of 100Reported as group
Quality
72.72
Promoting interoperability
0
Improvement activities
30
Cost
63.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Oklahoma, PLLC Nurse Practitioner CurrentSince Apr 15, 2025 Accepting new patients
Optimum Post Acute Care PLLC CurrentSince Apr 12, 2024 Accepting new patients
Allied Wound Care Specialist PLLC CurrentSince Sep 26, 2023 Accepting new patients
Optimum Pac PLLC CurrentSince Jul 1, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Health Woodward Hospital Inc Past Accepting new patients

Locations

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

1145 W I 240 Service Rd
Ste F100
Oklahoma City, OK 73139
Phone (405) 898-9048

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

900 17th St
Bsmt
Woodward, OK 73801

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1992464978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 17TH ST BSMT",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-254-8190",
            "fax_number": "580-254-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST BSMT",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-254-8190",
            "fax_number": "580-254-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "MARIAH",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "204825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.