MRS. AMY MARIE ODEN APRN, FNP-C
NPI 1417358177
Nurse Practitioner - Family in Broken Arrow, OK

Q: What is Amy Oden's NPI number?

The NPI number for Amy Oden is 1417358177. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Q: What is Amy Oden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Oden was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 11, 2014PECOS Enrolled

825 E HILLSIDE DR, BROKEN ARROW, OK 74012(918) 922-9122(918) 922-9124 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2024, Apr 26, 2018, Apr 17, 2017 and 1 more (4 updates tracked since 2016).

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About Mrs. Amy Marie Oden Aprn, Fnp-c NPPES

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

MRS. AMY MARIE ODEN APRN, FNP-C (NPI 1417358177) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (110604) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417358177

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. AMY MARIE ODENCredential: APRN, FNP-C

Location Address825 E HILLSIDE DRBroken Arrow, OK 74012

Mailing Address825 E Hillside DrBroken Arrow, OK 74012 · (918) 922-9122 · Fax (918) 922-9124

Phone(918) 922-9122

Fax(918) 922-9124

Sole ProprietorNo

Enumeration DateSeptember 11, 2014

Last NPPES UpdateApril 1, 20244 updates tracked since enumeration

NPPES CertifiedMarch 28, 2024

✔ NPI 1417358177 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 · 110604

825 E HILLSIDE DR, Broken Arrow, OK 74012

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amy Marie Oden Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Oden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Central Emergency Services PC

72 mi

Emergency Medicine

1323 W 6TH AVE
Stillwater, OK 74074

Reassigned Medicare billing, Oklahoma enrollment
298 clinicians in this Medicare group

NPI 1558663724 (925) 924-1600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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 Amy Oden's NPI number?

The NPI number for Amy Oden is 1417358177. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Amy Oden located?

Amy Oden practices at 825 E Hillside Dr, Broken Arrow, OK 74012. The listed phone number is (918) 922-9122.

What is Amy Oden's specialty?

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

Is Amy Oden enrolled in Medicare?

Yes. Amy Oden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Oden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Oden reassigns Medicare benefits to South Central Emergency Services PC (Stillwater, OK). The 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 Amy Oden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Oden was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.