MRS. EMILIE CHARLENE FALLWELL NP-C
NPI 1629365713
Nurse Practitioner - Family in Lawton, OK

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
4411 W GORE BLVD STE A2, LAWTON, OK 73505(580) 699-8383(580) 699-8381 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Emilie Charlene Fallwell Np-c NPPES

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

MRS. EMILIE CHARLENE FALLWELL NP-C (NPI 1629365713) is an individual family provider in Lawton, Oklahoma, licensed in Oklahoma (83413) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and maintains a secondary practice location in Norman.

NPPES Registry Identity

NPI1629365713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. EMILIE CHARLENE FALLWELLCredential: NP-C
Location Address4411 W GORE BLVD STE A2Lawton, OK 73505-5977
Mailing Address4411 W Gore Blvd Ste A2Lawton, OK 73505-5977 · (580) 699-8383 · Fax (580) 699-8381
Fax(580) 699-8381
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2011
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1629365713 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 · 83413
4411 W GORE BLVD STE A2, Lawton, OK 73505

Secondary Practice Location 1

Location 13400 W Tecumseh Rd, Suite 105Norman, OK 73072-1810 · Phone (405) 912-3400 · Fax (405) 912-3445

Accepted Insurance

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

Mrs. Emilie Charlene Fallwell Np-c 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 ID9335312685
PECOS Enrollment IDI20111101000512
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.

Hospital Affiliations CMS Care Compare 3

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

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Southwestern Medical Center

Acute Care Hospitals · Lawton, OK
3/5 CMS rating
OwnershipProprietary
CMS Certification Number370097
Location5602 Southwest Lee BoulevardLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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.

Other Providers at the Same Location NPPES 5

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

Anesthesiology
4411 W GORE BLVD STE A2
LAWTON, OK 73505
Physician Assistant
4411 W GORE BLVD STE A2
LAWTON, OK 73505
General Practice
4411 W GORE BLVD STE A2
LAWTON, OK 73505
Pain Medicine (Pain Medicine)
4411 W GORE BLVD STE A2
LAWTON, OK 73505
Physician Assistant
4411 W GORE BLVD STE A2
LAWTON, OK 73505

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 Emilie Fallwell's NPI number?

The NPI number for Emilie Fallwell is 1629365713. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Emilie Fallwell located?

Emilie Fallwell practices at 4411 W Gore Blvd Ste A2, Lawton, OK 73505. The listed phone number is (580) 699-8383.

What is Emilie Fallwell's specialty?

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

Is Emilie Fallwell enrolled in Medicare?

Yes. Emilie Fallwell 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.

What insurance does Emilie Fallwell accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Emilie Fallwell 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.

Is Emilie Fallwell affiliated with any hospitals?

According to CMS data, Emilie Fallwell is affiliated with Jackson County Memorial Hospital Authority, Comanche County Memorial Hospital and Southwestern Medical Center.

When was this NPI record last updated?

The NPPES record for Emilie Fallwell was last updated on July 23, 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.