RHONDA DENISE JAMES CNP
NPI 1336668383
Nurse Practitioner - Family in Stilwell, OK

Active since September 11, 2017PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
471688 HIGHWAY 51, STILWELL, OK 74960(918) 696-8800(918) 696-8840 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Sep 11, 2017 (2 updates tracked since 2017).

About Rhonda Denise James Cnp NPPES

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

RHONDA DENISE JAMES CNP (NPI 1336668383) is an individual family provider in Stilwell, Oklahoma, licensed in Oklahoma (85427) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336668383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRHONDA DENISE JAMESCredential: CNP
Location Address471688 HIGHWAY 51Stilwell, OK 74960-4490
Mailing Address471688 Highway 51Stilwell, OK 74960-4490 · (918) 696-8800 · Fax (918) 696-8840
Fax(918) 696-8840
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 11, 2017
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
NPI 1336668383 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
Licenses Licensed in OK · 85427 Licensed in NM · CNP-03365
471688 HIGHWAY 51, Stilwell, OK 74960

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

Rhonda Denise James Cnp 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 ID4284909896
PECOS Enrollment IDI20210818003244
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.

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.
227 services93 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.
47 services39 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

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 74960 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 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 suppliers11 claims11 services$12.70 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 suppliers18 claims18 services$92.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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 7

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

Nurse Practitioner (Family)
471688 HIGHWAY 51
STILWELL, OK 74960
Social Worker
471688 HIGHWAY 51
STILWELL, OK 74960
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
471688 HIGHWAY 51
STILWELL, OK 74960
Physical Therapist
471688 HIGHWAY 51
STILWELL, OK 74960
Counselor (Professional)
471688 HIGHWAY 51
STILWELL, OK 74960
Physical Therapy Assistant
471688 HIGHWAY 51
STILWELL, OK 74960
Clinic/Center (Multi-Specialty)
471688 HIGHWAY 51
STILWELL, OK 74960

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 Rhonda James's NPI number?

The NPI number for Rhonda James is 1336668383. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Rhonda James located?

Rhonda James practices at 471688 Highway 51, Stilwell, OK 74960. The listed phone number is (918) 696-8800.

What is Rhonda James's specialty?

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

Is Rhonda James enrolled in Medicare?

Yes. Rhonda James 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 Rhonda James affiliated with any hospitals?

According to CMS data, Rhonda James is affiliated with Northeastern Health System and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Rhonda James was last updated on March 31, 2023. 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.