LUPITA ANN WEATHERWAX (APRN-CNP) – Family Nurse Practitioner, NPI 1720588486
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LUPITA ANN WEATHERWAX (APRN-CNP)
2790 N KINGS HWY W
PRESCOTT VALLEY, AZ 863142808
Phone: (928) 261-3375
Type: Mailing
4845 S Sheridan Rd Ste 509
Tulsa, OK 741455719
Phone: (918) 660-0031
Fax: (918) 660-0056
Type: Location
3100 N Glassford Hill Rd
Prescott Valley, AZ 863142285
Phone: (928) 777-7820
Fax: (928) 777-7821
Type: Location
1620, Victoria Place, Edmond, Oklahoma County, Oklahoma, 73003, United States
EDMOND, OK 730033869
Phone: (928) 261-3375
Type: Mailing
3651, West Robinson Street, Norman, Cleveland County, Oklahoma, 73072, United States
NORMAN, OK 730723628
Phone: (866) 389-2727
Fax: (401) 216-3854
Type: Location
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 863142285
Phone: (928) 777-7820
Fax: (928) 777-7821
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201216002235 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 44 | 44 | $0 |
| 95115 | Professional service for single injection of allergen | 29 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 86314)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK |
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