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CARLEY MCLAUGHLIN MSN, FNP-C
NPI 1265090930
Nurse Practitioner - Family in Edmond, OK

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
1709 W 33RD ST, EDMOND, OK 73013(405) 229-8209(405) 844-3445 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 23, 2022, May 12, 2021, Nov 6, 2020 and 2 more (5 updates tracked since 2019).

About Carley Mclaughlin Msn, Fnp-c NPPES

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

CARLEY MCLAUGHLIN MSN, FNP-C (NPI 1265090930) is an individual family provider in Edmond, Oklahoma, licensed in Oklahoma (92641) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2019).

NPPES Registry Identity

NPI1265090930
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLEY MCLAUGHLINCredential: MSN, FNP-C
Location Address1709 W 33RD STEdmond, OK 73013-3861
Mailing Address1800 Renaissance BlvdEdmond, OK 73013-3023 · (405) 229-8209
Phone(405) 229-8209
Fax(405) 844-3445
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2019
Enumeration DateMay 29, 2019
Last NPPES UpdateOctober 23, 20225 updates tracked since enumeration
NPPES CertifiedOctober 23, 2022
✔ NPI 1265090930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 92641
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 92641 (OK)
1709 W 33RD ST, Edmond, OK 73013
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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 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

Carley Mclaughlin Msn, Fnp-c 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 ID4183955909
PECOS Enrollment IDI20191009001995
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 8

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.
534 services185 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
74 services17 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.
69 services69 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
62 services18 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
48 services31 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
35 services19 patients

Hospital Affiliations CMS Care Compare

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

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.

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 Carley Mclaughlin's NPI number?

The NPI number for Carley Mclaughlin is 1265090930. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Carley Mclaughlin located?

Carley Mclaughlin practices at 1709 W 33rd St, Edmond, OK 73013. The listed phone number is (405) 229-8209.

What is Carley Mclaughlin's specialty?

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

Is Carley Mclaughlin enrolled in Medicare?

Yes. Carley Mclaughlin 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 Carley Mclaughlin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Carley Mclaughlin 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 Carley Mclaughlin affiliated with any hospitals?

According to CMS data, Carley Mclaughlin is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Carley Mclaughlin was last updated on October 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.