MAKEDA GANT – Family Nurse Practitioner, NPI 1003201039
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MAKEDA GANT
1 EMBARCADERO CTR FL 19
SAN FRANCISCO, CA 941113628
Phone: (415) 658-6791
Fax: (415) 252-7176
Type: Location
13600 E 86TH ST N
STE 100
OWASSO, OK 740558732
Phone: (918) 272-9313
Fax: (918) 403-6311
Type: Mailing
1129 S ASPEN AVE
BROKEN ARROW, OK 740124859
Phone: (918) 764-9300
Fax: (918) 764-9275
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: 2020-03-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200331001212 | I | Nurse Practitioner | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology | AZ | |
| Hospitalist, Family Practice | CO | |
| - | CO | |
| Sleep Medicine, Family Practice | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| Family Practice | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Internal Medicine | CO |
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