MRS. MARY GRACE DIFUNTORUM APRN, FNP
NPI 1659078129
Nurse Practitioner - Family in Moore, OK
About Mrs. Mary Grace Difuntorum Aprn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY GRACE DIFUNTORUM APRN, FNP (NPI 1659078129) is an individual family provider in Moore, Oklahoma, licensed in Oklahoma (210920) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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. Mary Grace Difuntorum Aprn, Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOORE, OK 73160
MOORE, OK 73160
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 Mary Grace Difuntorum's NPI number?
The NPI number for Mary Grace Difuntorum is 1659078129. It was assigned to this individual provider in the NPPES registry on February 14, 2023.
Where is Mary Grace Difuntorum located?
Mary Grace Difuntorum practices at 400 N Eastern Ave, Moore, OK 73160. The listed phone number is (405) 730-6990.
What is Mary Grace Difuntorum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Grace Difuntorum enrolled in Medicare?
Yes. Mary Grace Difuntorum 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 Mary Grace Difuntorum accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Mary Grace Difuntorum 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 Mary Grace Difuntorum was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.
# Mrs. Mary Grace Difuntorum, APRN, FNP · NPI 1659078129
Family physician in Moore, Oklahoma. Individual provider, active in the CMS NPPES registry since February 14, 2023.
## Identity
- **NPI:** 1659078129 (Entity type: Individual)
- **Enumerated:** February 14, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 210920 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 N EASTERN AVE, Moore, OK 73160-5833
- **Phone:** (405) 730-6990 · **Fax:** (405) 730-6992
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1659078129) · Data from the CMS NPPES public registry.