WENDY DENISE MADISON CNP NPI 1891166864

NPI Information

  • NPI: 1891166864
  • Provider Name: WENDY DENISE MADISON, CNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 119 W MAIN ST
    HOMINY, OK
    ZIP 74035
  • Phone: (918) 885-4640

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NPI Details

Wendy Denise Madison, CNP is a primary care nurse practitioner in Hominy, OK with 11 years of experience. Wendy Denise Madison, CNP NPI is 1891166864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

119 W MAIN ST
HOMINY, OK
ZIP 74035-031
Phone: (918) 885-4640
Fax: (918) 885-4644

The NPI 1891166864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 12/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care84648OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1449026YRHZOTHEROKLAHOMAMEDICARE PTAN
2200614820 AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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