| Kelly Reid, APRN-CNP | |
|
1921 Stonecipher Dr, Ada, OK 74820-3439 | |
| (580) 436-3980 | |
| (580) 272-1026 |
| Full Name | Kelly Reid |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1921 Stonecipher Dr, Ada, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982995791 | NPI | - | NPPES |
| 60112 | Other | OK | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 60112 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pine Ridge Ihs Hospital | Pine ridge, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Ridge Indian Health Service Hospital | 7214825371 | 10 |
| Pine Ridge Indian Health Service Hospital | 4688654130 | 8 |
| Pine Ridge Indian Health Service Hospital | 4688571326 | 107 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Reid, APRN-CNP 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980 | Kelly Reid, APRN-CNP 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980 |
Akilah Talibah Dunn, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd., Ada, OK 74820 Phone: 580-436-3980 |
Mrs. Linda Louise Spooner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2330 Arlington St, Ada, OK 74820 Phone: 580-332-2011 Fax: 580-332-9537 |
Laura Coleen Byous-schaefer, APRN-CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 |
Haley Brooke Mitchell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Better Now Plz, Ada, OK 74820 Phone: 580-272-0025 Fax: 580-272-6559 |
Dr. Tosha Lucille Wilson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9989 |
Qiong Mu Ross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 |
Cy Callan Freeman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1007 N Country Club Rd, Ada, OK 74820 Phone: 580-421-8700 |