Doctor profile · Federal record
Dr. Mary Grace Difuntorum, APRN, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Moore, OK
- NPI 1659078129
- Accepts Medicare
- 4 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
400 N Eastern Ave
Moore, OK 731605833
(405) 730-6990
fax (405) 730-6992 - Additional location
-
160 E Sw 59Th St
Mustang, OK 730644722 - Mailing address
-
Po Box 891625
Oklahoma City, OK 731891625
Credentials & registration
- NPI registered
- February 2023 — 3 yrs on file
- Profile last updated
- February 20, 2026
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Oklahoma #210920
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659078129. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$101
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABIOMED | 1 | $101.05 |
By nature of payment
Frequently asked questions
What is Dr. Mary Grace Difuntorum's medical specialty?
Dr. Mary Grace Difuntorum practices Family Nurse Practitioner in Moore, OK.
Where does Dr. Mary Grace Difuntorum practice?
Dr. Mary Grace Difuntorum practices at 400 N Eastern Ave, Moore, OK 731605833. Office phone: 4057306990.
What is Dr. Mary Grace Difuntorum's NPI?
Dr. Mary Grace Difuntorum's National Provider Identifier (NPI) is 1659078129, issued by NPPES.
Does Dr. Mary Grace Difuntorum accept Medicare assignment?
Yes. Dr. Mary Grace Difuntorum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.