Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Michell Scaggs, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1144077553

Kimberly Michell Scaggs, AGACNP is a Nurse Practitioner in Ada, Oklahoma. Qualified in 2023, 3 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2024

Practice location Address checks out

430 N Monte Vista St
Ada, OK 74820-4657
Phone: (580) 332-2323
Fax: (580) 421-1384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 217660 (OK)

Record details

NPI number1144077553
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address5630 Triple L Rd, Davis, OK 73030-9486

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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