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ASHLEY DAWN SOURJOHN
NPI 1144831017
Nurse Practitioner - Family in Claremore, OK

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
206 E BLUE STARR DR, CLAREMORE, OK 74017(918) 341-8100(918) 341-8139 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Dawn Sourjohn NPPES

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

ASHLEY DAWN SOURJOHN (NPI 1144831017) is an individual family provider in Claremore, Oklahoma, licensed in Oklahoma (F07201695) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144831017
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY DAWN SOURJOHN
Location Address206 E BLUE STARR DRClaremore, OK 74017-4223
Mailing Address206 E Blue Starr DrClaremore, OK 74017-4223 · (918) 341-8100 · Fax (918) 341-8139
Phone(918) 341-8100
Fax(918) 341-8139
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1144831017 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 · F07201695
206 E BLUE STARR DR, Claremore, OK 74017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Ashley Dawn Sourjohn 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 ID1052730355
PECOS Enrollment IDI20211203000957
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.

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.
210 services85 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.
57 services40 patients

Hospital Affiliations CMS Care Compare

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74017 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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers14 claims14 services$58.47 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. WILLIAM A ROGERS PA C
Physician Assistant (Medical)
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
CHARLES RAY JENNINGS P.A.
Physician Assistant
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
LEAH GARGAS NP
Nurse Practitioner (Family)
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
BIH RHODA NUMFOR
Nurse Practitioner (Primary Care)
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
CRYSTAL MARIE MAPES
Nurse Practitioner (Family)
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
GENERATIONS FAMILY MEDICAL CLINIC, LLC
Clinic/Center (Health Service)
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
LAURIE ANN PAUL ARNP
Nurse Practitioner (Family)
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100
DR. ALFRED T COX M. D.
Family Medicine
206 E BLUE STARR DR
CLAREMORE, OK 74017
Rogers County (918) 341-8100

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 Ashley Sourjohn's NPI number?

The NPI number for Ashley Sourjohn is 1144831017. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Ashley Sourjohn located?

Ashley Sourjohn practices at 206 E Blue Starr Dr, Claremore, OK 74017. The listed phone number is (918) 341-8100.

What is Ashley Sourjohn's specialty?

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

Is Ashley Sourjohn enrolled in Medicare?

Yes. Ashley Sourjohn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Sourjohn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Ashley Sourjohn 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 Ashley Sourjohn affiliated with any hospitals?

According to CMS data, Ashley Sourjohn is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Sourjohn was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.