LESTER KEATHLEY (RN) – Family Nurse Practitioner, NPI 1003188962

LESTER KEATHLEY (RN) is a healthcare provider. based in Gore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 103738 (OK). The NPI Number for LESTER KEATHLEY (RN) is 1003188962

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
LESTER KEATHLEY (RN)
NPI
1003188962
Phone
(918) 571-2369
Address
109 8TH STREET
Enumeration Date
7 February 2012
Last Update Date
18 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052163747
Graduation Year
2020 (6 years ago)
PAC ID
2668882390
Group Practice PAC ID
4486028685
Professional Enrollment ID
I20201106002291
Address ID
OK730693966NO2424XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for LESTER KEATHLEY (RN)

  • 109 8TH STREET

    GORE, OK 74435

    Phone: (918) 571-2369

    Type: Mailing

  • 700 N MAIN ST

    GORE, OK 744352013

    Phone: (918) 571-2369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ABBVIE INC. ($37).

Total Amount

$114

General + Research + Ownership

Payments

6

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201106002291INurse PractitionerOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 74435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486028685View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerTX
Nurse PractitionerOK
Emergency MedicineOK
Nurse PractitionerOK
Family PracticeTX
Certified Clinical Nurse Specialist (Cns)OK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I cross-check LESTER KEATHLEY (RN) using NPI 1003188962?
NPI 1003188962 belongs to LESTER KEATHLEY (RN); compare other details if you need extra assurance.
Would LESTER KEATHLEY (RN) appear as active to a payer?
You can treat LESTER KEATHLEY (RN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LESTER KEATHLEY (RN)?
LESTER KEATHLEY (RN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LESTER KEATHLEY (RN) located near Gore?
LESTER KEATHLEY (RN) currently maps to Gore, Oklahoma in this extract.
When was this NPI issued?
Enumeration for LESTER KEATHLEY (RN) is noted as February 7, 2012 where the registry provides it.

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