NICOLE MCELROY
NPI 1295108751
Nurse Practitioner - Acute Care in Ada, OK

Active since November 05, 2015PECOS EnrolledAccepts Medicare Assignment
1921 STONECIPHER DR, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2022, Nov 30, 2015 (2 updates tracked since 2015).

About Nicole Mcelroy NPPES

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

NICOLE MCELROY (NPI 1295108751) is an individual acute care provider in Ada, Oklahoma, licensed in Oklahoma (93052) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295108751
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE MCELROY
Location Address1921 STONECIPHER DRAda, OK 74820-3439
Mailing Address430 N Monte Vista StAda, OK 74820-4610 · (580) 421-1127 · Fax (580) 436-6674
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 5, 2015
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1295108751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OK · 93052
1921 STONECIPHER DR, Ada, OK 74820

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

Nicole Mcelroy 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 ID4981905312
PECOS Enrollment IDI20171218000462
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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$18.32 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$44.44 avg. paid by Medicare
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
3 suppliers16 claims16 services$106.77 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 20

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

Physician Assistant
1921 STONECIPHER DR
ADA, OK 74820
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Midwife
1921 STONECIPHER DR
ADA, OK 74820
Family Medicine
1921 STONECIPHER DR
ADA, OK 74820
Physician Assistant (Medical)
1921 STONECIPHER DR
ADA, OK 74820
Counselor
1921 STONECIPHER DR
ADA, OK 74820
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Dentist
1921 STONECIPHER DR
ADA, OK 74820

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 Nicole Mcelroy's NPI number?

The NPI number for Nicole Mcelroy is 1295108751. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Nicole Mcelroy located?

Nicole Mcelroy practices at 1921 Stonecipher Dr, Ada, OK 74820. The listed phone number is (580) 436-3980.

What is Nicole Mcelroy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Mcelroy enrolled in Medicare?

Yes. Nicole Mcelroy 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.

Is Nicole Mcelroy affiliated with any hospitals?

According to CMS data, Nicole Mcelroy is affiliated with Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Mcelroy was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.