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AUTUMN DETRICK APRN-CNM
NPI 1588537872
Advanced Practice Midwife in Oklahoma City, OK

Active since September 24, 2025PECOS EnrolledAccepts Medicare Assignment
4200 W MEMORIAL RD STE 901, OKLAHOMA CITY, OK 73120(405) 242-4030(405) 242-4031 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Detrick Aprn-cnm NPPES

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

AUTUMN DETRICK APRN-CNM (NPI 1588537872) is an individual advanced practice midwife in Oklahoma City, Oklahoma, licensed in Oklahoma (217320) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1588537872
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameAUTUMN DETRICKCredential: APRN-CNM
Location Address4200 W MEMORIAL RD STE 901Oklahoma City, OK 73120-8378
Mailing Address4200 W Memorial Rd Ste 901Oklahoma City, OK 73120-8378 · (405) 242-4030 · Fax (405) 242-4031
Phone(405) 242-4030
Fax(405) 242-4031
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1588537872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in OK · 217320
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
4200 W MEMORIAL RD STE 901, Oklahoma City, OK 73120
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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

Autumn Detrick Aprn-cnm 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 ID648758805
PECOS Enrollment IDI20260129001368
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ANDREW MICHAEL VITALE M.D.
Urology
4200 W MEMORIAL RD STE 901
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 749-4230
CHEYANNA ISERNHAGEN CNP
Nurse Practitioner (Family)
4200 W MEMORIAL RD STE 901
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 242-4030

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 Autumn Detrick's NPI number?

The NPI number for Autumn Detrick is 1588537872. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Autumn Detrick located?

Autumn Detrick practices at 4200 W Memorial Rd Ste 901, Oklahoma City, OK 73120. The listed phone number is (405) 242-4030.

What is Autumn Detrick's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Autumn Detrick enrolled in Medicare?

Yes. Autumn Detrick 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.

When was this NPI record last updated?

The NPPES record for Autumn Detrick was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.