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LADONNA CULP APRN
NPI 1114463981
Nurse Practitioner in Tishomingo, OK

Active since January 17, 2017PECOS Enrolled
311 LAFITTE ST, TISHOMINGO, OK 73460(580) 387-9006 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2017, Jan 17, 2017 (2 updates tracked since 2017).

About Ladonna Culp Aprn NPPES

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

LADONNA CULP APRN (NPI 1114463981) is an individual nurse practitioner in Tishomingo, Oklahoma, licensed in Oklahoma (96158) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Tishomingo Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114463981
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLADONNA CULPCredential: APRN
Location Address311 LAFITTE STTishomingo, OK 73460-2433
Mailing Address311 Lafitte StTishomingo, OK 73460-2433 · (580) 387-9006
Phone(580) 387-9006
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 17, 2017
Last NPPES UpdateMay 16, 20172 updates tracked since enumeration
✔ NPI 1114463981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 96158
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 96158 (OK)
311 LAFITTE ST, Tishomingo, OK 73460
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ladonna Culp Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931478781
PECOS Enrollment IDI20170711000124
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Ladonna Culp reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Tishomingo, Inc.
0.5 mi
Critical Access
1000 S BYRD ST
Tishomingo, OK 73460
  • Reassigned Medicare billing, Oklahoma enrollment
  • 55 clinicians in this Medicare group
NPI 1932404431 (580) 371-2327
Elmbrook Clinical Services LLC
28 mi
Gerontology
1908 12TH AVE NW, SUITE E
Ardmore, OK 73401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 5 clinicians in this Medicare group
NPI 1649951211 (580) 226-3055
Mercy Hospital Healdton, Inc.
47 mi
Rural Health
3472 HOSPITAL RD
Healdton, OK 73438
  • Reassigned Medicare billing, Oklahoma enrollment
  • 37 clinicians in this Medicare group
NPI 1437467388 (580) 229-0079
Mercy Clinic Oklahoma Communities
109 mi
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333
Mercy Hospital Logan County, Inc
119 mi
Rural Health
2919 S DIVISION ST
Guthrie, OK 73044
  • Reassigned Medicare billing, Oklahoma enrollment
  • 137 clinicians in this Medicare group
NPI 1184905507 (405) 282-6301
Mercy Hospital Kingfisher, Inc
135 mi
Diagnostic Radiology
1000 HOSPITAL DR
Kingfisher, OK 73750
  • Reassigned Medicare billing, Oklahoma enrollment
  • 64 clinicians in this Medicare group
NPI 1285064618 (405) 375-3141
Mercy Hospital Watonga Inc
149 mi
Critical Access
500 N CLARENCE NASH BLVD
Watonga, OK 73772
  • Reassigned Medicare billing, Oklahoma enrollment
  • 39 clinicians in this Medicare group
NPI 1497017529 (580) 623-7211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
129 services58 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
71 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
55 services26 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
41 services38 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
32 services32 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Tishomingo Inc

Critical Access Hospitals · Tishomingo, OK
OwnershipVoluntary non-profit - Church
CMS Certification Number371304
Location1000 South Byrd StTishomingo, OK 73460 · Johnston County
Emergency services

Mercy Hospital Healdton, Inc.

Critical Access Hospitals · Healdton, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371310
Location3462 Hospital RdHealdton, OK 73438 · Carter County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73460 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$119.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$36.43 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers38 claims38 services$24.79 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers14 claims14 services$8.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ladonna Culp's NPI number?

The NPI number for Ladonna Culp is 1114463981. It was assigned to this individual provider in the NPPES registry on January 17, 2017.

Where is Ladonna Culp located?

Ladonna Culp practices at 311 Lafitte St, Tishomingo, OK 73460. The listed phone number is (580) 387-9006.

What is Ladonna Culp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ladonna Culp enrolled in Medicare?

Yes. Ladonna Culp is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ladonna Culp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ladonna Culp reassigns Medicare benefits to 7 organizations: Mercy Hospital Tishomingo, Inc. (Tishomingo, OK), Elmbrook Clinical Services LLC (Ardmore, OK), Mercy Hospital Healdton, Inc. (Healdton, OK), Mercy Clinic Oklahoma Communities (Oklahoma City, OK), Mercy Hospital Logan County, Inc (Guthrie, OK) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ladonna Culp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ladonna Culp accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ladonna Culp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ladonna Culp affiliated with any hospitals?

According to CMS data, Ladonna Culp is affiliated with Mercy Hospital Tishomingo Inc and Mercy Hospital Healdton, Inc..

When was this NPI record last updated?

The NPPES record for Ladonna Culp was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.