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

Mrs. Codi Nicole Castleberry, PA

Individual provider Physician Assistant · NPI 1922508266

Mrs. Codi Nicole Castleberry, PA is a Physician Assistant in Owasso, Oklahoma. Qualified in 2017, 9 years ago. Practices with Medwise LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

11426 N 134th East Ave
Owasso, OK 74055-4715
Phone: (918) 376-6345
Fax: (918) 376-6635
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2891 (OK)

Record details

NPI number1922508266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2018
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medwise Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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