LEA DOMENIQUE BRYAN CRNP
NPI 1073020988
Nurse Practitioner in Edmond, OK

Active since January 02, 2018PECOS EnrolledAccepts Medicare Assignment
70.88/100
CMS Quality Rating
1705 RENAISSANCE BLVD, EDMOND, OK 73013(405) 844-4978 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, Apr 12, 2023 (2 updates tracked since 2023).

About Lea Domenique Bryan Crnp NPPES

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

LEA DOMENIQUE BRYAN CRNP (NPI 1073020988) is an individual nurse practitioner in Edmond, Oklahoma, licensed in Pennsylvania (SPO18291) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073020988
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLEA DOMENIQUE BRYANCredential: CRNP
Location Address1705 RENAISSANCE BLVDEdmond, OK 73013-3041
Mailing Address1701 Renaissance BlvdEdmond, OK 73013-3086 · (405) 844-4978 · Fax (405) 844-0562
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1073020988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SPO18291
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1705 RENAISSANCE BLVD, Edmond, OK 73013

Accepted 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

Lea Domenique Bryan Crnp 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 ID345501920
PECOS Enrollment IDI20180815003659
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
16 services16 patients
Thyroid hormone, t3 measurement, free 84481
The T3 measurement, free, is a blood test that checks the level of a hormone called triiodothyronine. This hormone is produced by your thyroid, a small gland in your neck. It plays a key role in regulating your body's metabolism and energy use.
15 services15 patients
Cyanocobalamin (vitamin b-12) level 82607
A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.62
Promoting Interoperability72
Improvement Activities40
Cost54.66

Other Providers at the Same Location NPPES 17

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

Physician Assistant
1705 RENAISSANCE BLVD, STE 100
EDMOND, OK 73013
Emergency Medicine (Emergency Medical Services)
1705 RENAISSANCE BLVD, STE 100
EDMOND, OK 73013
Clinic/Center (Radiology)
1705 RENAISSANCE BLVD, SUITE 135
EDMOND, OK 73013
Durable Medical Equipment & Medical Supplies
1705 RENAISSANCE BLVD, SUITE 105
EDMOND, OK 73013
Clinic/Center (Urgent Care)
1705 RENAISSANCE BLVD, SUITE 100
EDMOND, OK 73013
Radiology (Diagnostic Radiology)
1705 RENAISSANCE BLVD, STE 160
EDMOND, OK 73013
Radiology (Diagnostic Radiology)
1705 RENAISSANCE BLVD, SUITE 150
EDMOND, OK 73013
Obstetrics & Gynecology (Gynecology)
1705 RENAISSANCE BLVD, SUITE 120
EDMOND, OK 73013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073020988, enumerated as an "individual" on January 02, 2018.

The provider is located at 1705 RENAISSANCE BLVD EDMOND, OK 73013 and the phone number is (405) 844-4978.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.

Lea Bryan is affiliated with: MERCY HOSPITAL OKLAHOMA CITY, INC, SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY and O U MEDICAL CENTER.