BETH R HOLDERBY ACRE (NP-C) – Family Nurse Practitioner, NPI 1023433299
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for BETH R HOLDERBY ACRE (NP-C)
PO BOX 217
CANTON, OK 737240217
Phone: (580) 886-1400
Fax: (580) 297-9285
Type: Mailing
213 W. MAIN ST.
CANTON, OK 73724
Phone: (580) 886-1400
Fax: (580) 297-9285
Type: Location
2919 S DIVISION ST
GUTHRIE, OK 730446806
Phone: (405) 282-6301
Type: Mailing
310 E. WALNUT STREET
CANTON, OK 73724
Phone: (580) 886-2200
Fax: (580) 886-2205
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: 2014-06-12
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 |
|---|---|---|---|---|
| I20140612000145 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 60 | 12 | $0 |
| 81002 | Urinalysis, manual test | 39 | 27 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 27 | 19 | $0 |
| 83036 | Hemoglobin a1c level | 22 | 14 | $0 |
Insurance plans in this area (ZIP 73724)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Family Practice | SC |
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