HEALTHCARE STAT OF NEWCASTLE
NPI 1346796604
Nurse Practitioner - Family in Newcastle, OK

Q: What is Healthcare Stat Of Newcastle LLC's NPI number?

The NPI number for Healthcare Stat Of Newcastle LLC is 1346796604. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Healthcare Stat Of Newcastle.

Q: What is Healthcare Stat Of Newcastle LLC's specialty?

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

Active since August 28, 2016

2120 N MAIN ST SUITE B, NEWCASTLE, OK 73065(405) 792-0200(405) 701-5421 Get Directions Write a Review

NPPES record last updated: August 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Healthcare Stat Of Newcastle NPPES

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

HEALTHCARE STAT OF NEWCASTLE (NPI 1346796604) is a healthcare organization registered as a family in Newcastle, Oklahoma and active in the NPI registry since August 2016. The organization lists Shawn P Bonilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1346796604

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameHEALTHCARE STAT OF NEWCASTLE LLC

Location Address2120 N MAIN ST SUITE BNewcastle, OK 73065

Mailing AddressPo Box 5908Norman, OK 73070-5908 · (405) 659-5656 · Fax (405) 701-5421

Phone(405) 792-0200

Fax(405) 701-5421

Organization SubpartNo

Authorized OfficialShawn P BonillaOwner · (405) 792-0200

Enumeration DateAugust 28, 2016

✔ NPI 1346796604 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 · 68442

2120 N MAIN ST SUITE B, Newcastle, OK 73065

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Other Names 1

Doing Business AsHealthcare Stat Of Newcastle

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 37D2117492

Healthcare Stat Of Newcastle · Newcastle, OK

Expired · Aug 16, 2026

CLIA Number37D2117492

Laboratory TypePhysician Office

Certificate Effective DateAugust 17, 2024

Certificate Expiration DateAugust 16, 2026

Laboratory DirectorShawn P. Bonilla

Laboratory Phone(405) 792-0200

Laboratory LocationHealthcare Stat Of Newcastle2120 N Main Ste B, Newcastle, OK 73065

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Healthcare Stat Of Newcastle LLC's NPI number?

The NPI number for Healthcare Stat Of Newcastle LLC is 1346796604. It was assigned to this organization in the NPPES registry on August 28, 2016. The provider is doing business as Healthcare Stat Of Newcastle.

Where is Healthcare Stat Of Newcastle LLC located?

Healthcare Stat Of Newcastle LLC is located at 2120 N Main St Suite B, Newcastle, OK 73065. The listed phone number is (405) 792-0200.

What is Healthcare Stat Of Newcastle LLC's specialty?

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

What insurance does Healthcare Stat Of Newcastle LLC accept?

Health plans from Medica and Mending Health list Healthcare Stat Of Newcastle LLC 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.

When was this NPI record last updated?

The NPPES record for Healthcare Stat Of Newcastle LLC was last updated on August 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.