| Mrs Kristen Bomboy, APRN CNP | |
|
2010 Boren Blvd, Seminole, OK 74868-2050 | |
| (405) 382-4507 | |
| (405) 382-5269 |
| Full Name | Mrs Kristen Bomboy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 2010 Boren Blvd, Seminole, 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 |
|---|---|---|---|
| 1316983075 | NPI | - | NPPES |
| 200019070A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | N5739001 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lighthouse Behavioral Wellness Centers | 6406748961 | 36 |
| Entity Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen Bomboy, APRN CNP 2010 Boren Blvd, Seminole, OK 74868-2050 Ph: (405) 382-4507 | Mrs Kristen Bomboy, APRN CNP 2010 Boren Blvd, Seminole, OK 74868-2050 Ph: (405) 382-4507 |
Teagan Bratcher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602 Highway 9 E, Seminole, OK 74868 Phone: 405-716-9077 | |
Whitney Alyse Robertson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd, Seminole, OK 74868 Phone: 580-436-5111 | |
Ms. Angela Christine Yates-griffin, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 Phone: 580-436-5111 Fax: 580-436-1159 | |
Breanne Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602 Highway 9 E, Seminole, OK 74868 Phone: 405-716-9077 | |
Mrs. Emily Katherine Payne, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 Phone: 580-436-5111 Fax: 580-436-1159 | |
Keyanna Renee Rawlins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2407 W Wrangler Blvd Ste B, Seminole, OK 74868 Phone: 405-303-2012 |