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

Shannon Miller, APRN-CNP

Individual provider Nurse Practitioner · NPI 1063850766

Shannon Miller, APRN-CNP is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2013, 13 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
13
Licensed in
OK
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1600 SW 119th St
Oklahoma City, OK 73170-4908
Phone: (405) 425-8100
Fax: (405) 425-8109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 78164 (OK)
Nurse Practitioner Taxonomy 363L00000X · Licence 78164 (OK)

Record details

NPI number1063850766
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESNovember 8, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Oklahoma City