Active NPI 1407129372 Individual Practitioner Female Practitioner

Stephenie Renee Ingram , CNP-FAMILY

Nurse Practitioner • Wilburton, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephenie Ingram, CNP-FAMILY is a certified Nurse Practitioner practicing in Wilburton, OK. With approximately 15 years of clinical experience since completing medical education in 2011, Stephenie Ingram delivers high-quality medical care to the local community at 210 W MAIN ST.

Stephenie Ingram accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 W Main St

Wilburton, OK 745784046

Telephone 9184659612

Fax 9184659613

Associated Practice Facility / Clinic

🏢 Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc Facility NPI 1538671425

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wilburton, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs Matches City Avg

City Avg: 15.0 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Wilburton, OK (715 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ingram (15 Years) 15 Yrs

Wilburton Specialty Average (15.0 Years) 15.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	296	104	$20.00	$13.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	85	$304.00	$100.78
99213 Established patient office or other outpatient visit, typically 15 minutes	129	65	$206.00	$71.19
36415 Insertion of needle into vein for collection of blood sample	122	70	$10.00	$8.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	120	20	$4.00	$0.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	13	$116.00	$32.56
81002 Urinalysis, manual test	36	16	$17.00	$3.41
G0008 Administration of influenza virus vaccine	30	29	$41.00	$30.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	16	$122.00	$44.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	25	$71.00	$11.17
90662 Influenza vaccine split virus, preservative free	27	27	$90.00	$81.82
96160 Administration and interpretation of patient-focused health risk assessment	12	11	$13.00	$2.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$152.00	$41.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	101	$304.00	$101.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	133	19	$4.00	$1.06
36415 Insertion of needle into vein for collection of blood sample	100	73	$10.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	88	48	$206.00	$71.10
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	13	$116.00	$32.30
G0008 Administration of influenza virus vaccine	35	35	$41.00	$28.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	21	$71.00	$11.12
81002 Urinalysis, manual test	28	15	$17.00	$3.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	23	$56.00	$17.99
90662 Influenza vaccine split virus, preservative free	25	25	$80.00	$71.93
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	16	13	$125.00	$47.77
96160 Administration and interpretation of patient-focused health risk assessment	13	13	$13.00	$2.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$150.00	$101.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	105	$304.00	$102.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	166	24	$4.00	$1.10
36415 Insertion of needle into vein for collection of blood sample	109	76	$10.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	60	44	$206.00	$72.46
G0008 Administration of influenza virus vaccine	44	44	$41.00	$27.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	28	$71.00	$11.08
90662 Influenza vaccine split virus, preservative free	37	37	$75.00	$68.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	22	$56.00	$18.09
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	26	21	$125.00	$50.66
81002 Urinalysis, manual test	25	16	$17.00	$3.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$305.00	$90.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	111	$304.00	$104.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	19	$4.00	$1.28
36415 Insertion of needle into vein for collection of blood sample	114	72	$10.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	70	41	$206.00	$72.78
G0008 Administration of influenza virus vaccine	39	39	$41.00	$15.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	24	$56.00	$17.85
90662 Influenza vaccine split virus, preservative free	37	37	$75.00	$65.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	24	$71.00	$11.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$305.00	$90.39
81002 Urinalysis, manual test	21	11	$17.00	$3.48
83036 Hemoglobin A1C level	19	16	$20.00	$9.20
96160 Administration and interpretation of patient-focused health risk assessment	13	13	$13.00	$2.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	122	$304.00	$86.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	21	$4.00	$1.47
36415 Insertion of needle into vein for collection of blood sample	141	96	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	62	44	$206.00	$59.72
G0008 Administration of influenza virus vaccine	56	55	$41.00	$15.76
90662 Influenza vaccine split virus, preservative free	44	43	$74.09	$60.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	28	$71.00	$11.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$305.00	$87.19
81002 Urinalysis, manual test	26	20	$17.00	$3.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$250.00	$138.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	15	$56.00	$18.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$465.00	$134.22
G0444 Annual depression screening, 5 to 15 minutes	16	16	$40.00	$14.48
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$25.00	$17.70
82962 Blood glucose (sugar) test performed by hand-held instrument	13	11	$10.00	$3.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	92	$304.00	$87.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	216	29	$4.00	$1.58
36415 Insertion of needle into vein for collection of blood sample	86	69	$10.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	73	42	$206.00	$59.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	38	$71.00	$13.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$305.00	$88.19
G0008 Administration of influenza virus vaccine	37	37	$41.00	$15.46
90662 Influenza vaccine split virus, preservative free	35	35	$65.00	$54.89
81002 Urinalysis, manual test	14	12	$17.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	102	$304.66	$86.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	201	30	$4.06	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	91	56	$206.00	$58.35
36415 Insertion of needle into vein for collection of blood sample	85	61	$10.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	39	$71.00	$16.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$305.00	$85.73
G0008 Administration of influenza virus vaccine	47	47	$41.00	$18.90
90662 Influenza vaccine split virus, preservative free	43	43	$65.00	$52.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$465.00	$133.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$410.00	$117.65
81002 Urinalysis, manual test	15	12	$17.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	206	$203.00	$85.23
99213 Established patient office or other outpatient visit, typically 15 minutes	283	178	$137.00	$57.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	142	22	$4.00	$1.81
G0008 Administration of influenza virus vaccine	47	46	$41.00	$23.05
G0009 Administration of pneumococcal vaccine	36	36	$41.00	$23.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	30	$51.22	$19.73
90662 Influenza vaccine split virus, preservative free	33	33	$65.00	$48.05
90670 Pneumococcal vaccine for injection into muscle	28	28	$228.96	$184.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$81.00	$34.43
71020 X-ray of chest, 2 views, front and side	26	24	$40.00	$14.61
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	13	$38.57	$17.48
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$48.54	$21.00
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$111.00	$31.30

Medical Specialties & State Licenses

CMS Verified: 2024-01-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OK 72256

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OK 72256

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200426120A (OK)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 10, 2024

Registered at 210 W MAIN ST, WILBURTON, OK 745784046 (Tel: 9184659612)

📍

Updated Business Mailing Address January 10, 2024

Registered at 210 W MAIN ST, WILBURTON, OK 745784046 (Tel: 9184659612)

✅

NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2013

Registered at 1401 E VAN BUREN AVE, MCALESTER, OK 745014245 (Tel: 9184260240)

📍

Updated Business Mailing Address October 21, 2013

Registered at 6600 S YALE AVE, SUITE 1400, TULSA, OK 741363347 (Tel: 9184886001)

👤

Provider Name / Credentials Updated October 21, 2013

Recorded as STEPHENIE INGRAM, CNP-FAMILY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

Nurse Practitioner (License #72256 in OK)

🟢

Initial NPI Registration & Enumeration February 22, 2012

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: 1407129372

Entity Type:

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

Enumeration Date: February 22, 2012

Last Update: January 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

210 W Main St

Wilburton, OK 745784046

Phone: 9184659612

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.