Active NPI 1295108751 Individual Practitioner Female Practitioner

Nicole Mcelroy

Nurse Practitioner - Acute Care • Ada, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Mcelroy is a certified Nurse Practitioner - Acute Care practicing in Ada, OK. With approximately 11 years of clinical experience since completing medical education in 2015, Nicole Mcelroy delivers high-quality medical care to the local community at 1921 STONECIPHER DR.

Nicole Mcelroy is affiliated with Chickasaw Nation Division Of Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1921 Stonecipher Dr

Ada, OK 748203439

Telephone 5804363980

Associated Practice Facility / Clinic

🏢 Chickasaw Nation Division Of Health Facility NPI 1396923280

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Ada, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +5.7 yrs vs City Avg

City Avg: 5.3 Yrs

State Avg: 7.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Ada, OK (336 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcelroy (11 Years) 11 Yrs

Ada Specialty Average (5.3 Years) 5.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	41	$336.00	$91.35
99239 Hospital discharge day management, more than 30 minutes	53	52	$490.00	$90.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$573.00	$111.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99239 Hospital discharge day management, more than 30 minutes	74	70	$490.00	$90.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	41	$336.00	$95.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$573.00	$127.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	20	$204.00	$59.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	30	$204.00	$55.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	23	$336.00	$82.02
99239 Hospital discharge day management, more than 30 minutes	32	30	$426.06	$82.16
99217 Hospital observation care on day of discharge	27	27	$206.00	$57.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$387.00	$109.21
99219 Hospital observation care, typically 50 minutes	13	13	$414.92	$106.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	50	$204.00	$58.44
99239 Hospital discharge day management, more than 30 minutes	42	40	$304.00	$86.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	12	$336.00	$83.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$387.00	$110.50
99217 Hospital observation care on day of discharge	17	17	$206.00	$58.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	50	$204.00	$59.00
99239 Hospital discharge day management, more than 30 minutes	67	66	$304.00	$87.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	39	$111.00	$32.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$387.00	$113.98
99217 Hospital observation care on day of discharge	17	17	$206.00	$59.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$332.85	$82.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	67	$200.04	$59.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	51	$111.00	$32.42
99239 Hospital discharge day management, more than 30 minutes	61	57	$304.00	$86.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$410.44	$112.65
99217 Hospital observation care on day of discharge	24	23	$206.00	$57.73
99219 Hospital observation care, typically 50 minutes	17	16	$384.00	$108.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	224	$113.22	$60.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	250	78	$81.36	$32.39
99239 Hospital discharge day management, more than 30 minutes	216	195	$168.54	$88.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	169	86	$160.00	$85.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	77	$309.78	$167.33
99217 Hospital observation care on day of discharge	55	53	$130.73	$59.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$225.17	$112.99
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$160.37	$83.71
99219 Hospital observation care, typically 50 minutes	27	27	$234.07	$112.25
99291 Critical care, first 30-74 minutes	15	12	$667.00	$184.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	556	251	$112.66	$58.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	257	68	$80.00	$32.11
99239 Hospital discharge day management, more than 30 minutes	206	178	$165.36	$86.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	103	100	$211.72	$111.54
99217 Hospital observation care on day of discharge	88	86	$116.00	$59.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	58	$160.00	$85.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	70	$311.00	$165.68
99219 Hospital observation care, typically 50 minutes	65	63	$208.00	$111.07
99221 Initial hospital inpatient care per day, typically 30 minutes	43	42	$156.00	$82.95
99291 Critical care, first 30-74 minutes	21	20	$667.00	$183.48
99220 Hospital observation care, typically 70 minutes	17	17	$284.00	$151.89
99225 Subsequent observation care, typically 25 minutes per day	11	11	$112.00	$59.60

Medical Specialties & State Licenses

CMS Verified: 2022-04-14

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License OK 93052

Definition to come...

Hospital & Practice Group Affiliations

Chickasaw Nation Division Of Health

1921 Stonecipher Dr, Ada, OK 748203439

Phone: 5804363980

Secondary Practice Locations

430 N Monte Vista St

Ada, OK 748204610

Phone: 5804211127

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Joshua Mayo , DDS

Dentist

NPI 1003170887

Doctor of Dental Surgery

Akilah Dunn , APRN-CNP

Nurse Practitioner - Family

NPI 1003505033

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Travis Teel , PA

Physician Assistant

NPI 1013210830

Physician Assistant

Laura Byous-Schaefer , APRN-CNM

Midwife

NPI 1013509728

APRNCNM

Lauren Little Axe , PA

Physician Assistant - Medical

NPI 1023587649

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 14, 2022

Registered at 1921 STONECIPHER DR, ADA, OK 748203439 (Tel: 5804363980)

👤

Provider Name / Credentials Updated April 14, 2022

Recorded as NICOLE MCELROY

✅

NPI Profile Active November 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2015

Registered at 430 N MONTE VISTA ST, ADA, OK 748204610 (Tel: 5804211127)

📍

Updated Business Mailing Address November 30, 2015

Registered at 430 N MONTE VISTA ST, ADA, OK 748204610 (Tel: 5804211127)

👤

Provider Name / Credentials Updated November 30, 2015

Recorded as NICOLE SMITH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2015

Nurse Practitioner (License #93052 in OK)

🟢

Initial NPI Registration & Enumeration November 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295108751

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 05, 2015

Last Update: April 14, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

430 N Monte Vista St

Ada, OK 748204610

Phone: 5804211127

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.