Sooner Geriatrics, LLC
NPI 1164527727 · Skilled Nursing Facility · Oklahoma City, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sooner Geriatrics, LLC is a Skilled Nursing Facility organization in Oklahoma City, OK (NPI 1164527727).
Provider details
- NPI number
- 1164527727
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Deroin, Director of Reimbursement(405) 943-1144
- License
- NH5501-5501 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grace Living Center - Wildewood
- Former legal business name
- Sooner Geriatrics, LLC
- Doing business as
- Wildewood Skilled Nursing and Therapy
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Sooner Geriatrics, LLC's NPI number?
- Sooner Geriatrics, LLC's National Provider Identifier (NPI) is 1164527727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sooner Geriatrics, LLC?
- Sooner Geriatrics, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sooner Geriatrics, LLC located?
- Sooner Geriatrics, LLC's practice location on file with NPPES is 1913 Ne 50th St, Oklahoma City, OK 73111-7003.
- What is Sooner Geriatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sooner Geriatrics, LLC is (405) 427-5414.
- Does Sooner Geriatrics, LLC accept Medicare?
- Sooner Geriatrics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sooner Geriatrics, LLC?
- The authorized official listed on Sooner Geriatrics, LLC's NPPES record is Kristy Deroin, Director of Reimbursement. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sooner Geriatrics, LLC's NPI active?
- Yes — Sooner Geriatrics, LLC's NPI (1164527727) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.