QIONG MU ROSS APRN-CNP
NPI 1053705673
Nurse Practitioner - Family in Ada, OK

Q: What is Qiong Mu Ross's NPI number?

The NPI number for Qiong Mu Ross is 1053705673. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Q: What is Qiong Mu Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Qiong Mu Ross was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2015PECOS EnrolledAccepts Medicare Assignment

625 N MONTE VISTA ST, ADA, OK 74820(580) 436-5111(580) 436-1159 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Apr 12, 2021, Sep 27, 2016 (3 updates tracked since 2016).

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About Qiong Mu Ross Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QIONG MU ROSS APRN-CNP (NPI 1053705673) is an individual family provider in Ada, Oklahoma, licensed in Oklahoma (99604) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Cincinnati College Of Medicine (2021).

NPPES Registry Identity

NPI1053705673

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameQIONG MU ROSSCredential: APRN-CNP

Location Address625 N MONTE VISTA STAda, OK 74820-4613

Mailing Address527 W 3rd StKonawa, OK 74849-1415 · (580) 925-3286 · Fax (580) 925-9149

Phone(580) 436-5111

Fax(580) 436-1159

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2021

Enumeration DateMarch 20, 2015

Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1053705673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 99604

625 N MONTE VISTA ST, Ada, OK 74820

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Rolling Hills LnAda, OK 74820-9415 · Phone (580) 453-4577

Location 2905 Colony DrAda, OK 74820-2329 · Phone (580) 436-5111 · Fax (580) 436-1159

Other Identifiers 1

Medicaid200592400AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Qiong Mu Ross Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830491323

PECOS Enrollment IDI20151229002638

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

189 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

50 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAILEY LANE ACKERMAN MSW

Counselor