Wilburton Family Medical Stephenie Ingram Aprn Cnp PLLC
NPI 1538671425ActiveOrganization· Registered Nurse, General Practice· Wilburton, OK
Registered Nurse, General Practice in Wilburton, Oklahoma, registered in NPPES in October 2017. The authorized official on file is Judy Brewster, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538671425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2017 |
| Last updated in NPPES | Jul 17, 2025 |
| Certified by provider | Jul 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 72256 | OK |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|