Individual provider Active NPI

Rose Marie McMahan, ARNP

  • Family Nurse Practitioner
  • Wagoner, OK
National Provider Identifier
1992947345
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0049238 Issued in OK
Practice address
27546 E 705 Rd
Wagoner, OK 74467-6698
Phone
(918) 485-6107
Fax
(918) 485-6106
NPI assigned
Apr 1, 2009
Last updated
Apr 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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 R0049238 OK Primary

Addresses

Primary practice location

27546 E 705 Rd
Wagoner, OK 74467-6698

Mailing address

27586 E 705 Rd
Wagoner, OK 74467-6698
Phone (918) 485-6107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090929000610 TX Practitioner - Nurse Practitioner 2163568460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians

Practice addresses (Care Compare)

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0049238OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee IHS Pharmacy CurrentSince Sep 21, 2025 Accepting new patients
Pawnee Indian Health Center CurrentSince Oct 6, 2025 Accepting new patients
Cherokee Nation Past Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients

Locations

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1992947345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27586 E 705 RD",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744676698",
            "telephone_number": "918-485-6107",
            "fax_number": "918-485-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27546 E 705 RD",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744676698",
            "telephone_number": "918-485-6107",
            "fax_number": "918-485-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0049238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

Verify at the official NPI Registry.