PREMIER HEALTHCARE, APRN-CNP, PC
NPI 1144847542
Nurse Practitioner - Primary Care in Oklahoma City, OK

Active since July 01, 2020
701 SW 119TH ST, OKLAHOMA CITY, OK 73170(405) 735-3135(405) 676-9204 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Dec 22, 2020, Jul 1, 2020 (3 updates tracked since 2020).

About Premier Healthcare, Aprn-cnp, Pc NPPES

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

PREMIER HEALTHCARE, APRN-CNP, PC (NPI 1144847542) is a healthcare organization registered as a primary care in Oklahoma City, Oklahoma and active in the NPI registry since July 2020. The organization lists Roy M Slootheer, President, as its authorized official.

NPPES Registry Identity

NPI1144847542
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePREMIER HEALTHCARE, APRN-CNP, PC
Location Address701 SW 119TH STOklahoma City, OK 73170-6067
Mailing Address701 Sw 119th StOklahoma City, OK 73170-6067 · (405) 735-3135 · Fax (405) 676-9204
Fax(405) 676-9204
Organization SubpartNo
Authorized OfficialRoy M SlootheerPresident · (405) 201-1333
Enumeration DateJuly 1, 2020
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1144847542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
701 SW 119TH ST, Oklahoma City, OK 73170

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Healthcare, Aprn-cnp, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Healthcare, Aprn-Cnp, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1134690514
701 SW 119TH ST
Oklahoma City, OK 73170
(405) 735-3135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295286854
701 SW 119TH ST
Oklahoma City, OK 73170
(405) 735-3135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356892921
701 SW 119TH ST
Oklahoma City, OK 73170
(405) 735-3135
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2194410

Premier Healthcare, Aprn-Cnp, PC · Oklahoma City, OK
Expired · Sep 29, 2026
CLIA Number37D2194410
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorRoy M. Slootheer
Laboratory Phone(405) 735-3135
Laboratory LocationPremier Healthcare, Aprn-Cnp, PC701 SW 119th St, Oklahoma City, OK 73170
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premier Healthcare, Aprn-Cnp, PC's NPI number?

The NPI number for Premier Healthcare, Aprn-Cnp, PC is 1144847542. It was assigned to this organization in the NPPES registry on July 1, 2020.

Where is Premier Healthcare, Aprn-Cnp, PC located?

Premier Healthcare, Aprn-Cnp, PC is located at 701 SW 119th St, Oklahoma City, OK 73170. The listed phone number is (405) 735-3135.

What is Premier Healthcare, Aprn-Cnp, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Premier Healthcare, Aprn-Cnp, PC enrolled in Medicare?

Yes. Premier Healthcare, Aprn-Cnp, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Healthcare, Aprn-Cnp, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Premier Healthcare, Aprn-Cnp, PC. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Healthcare, Aprn-Cnp, PC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.