MR. BRAXTON KYLE HUCKABEE (CNP) – Acute Care Nurse Practitioner, NPI 1023772696

MR. BRAXTON KYLE HUCKABEE (CNP) is a healthcare provider. based in Jenks, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 201762 (OK). The NPI Number for MR. BRAXTON KYLE HUCKABEE (CNP) is 1023772696

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRAXTON KYLE HUCKABEE (CNP)
NPI
1023772696
Phone
Not provided
Address
701 W 101ST PL S APT 2101
Enumeration Date
28 October 2021
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183924547
Graduation Year
2020 (6 years ago)
PAC ID
7719371863
Group Practice PAC ID
2163501693
Professional Enrollment ID
I20220307000673
Address ID
OK741357485TU5110XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MR. BRAXTON KYLE HUCKABEE (CNP)

  • 701 W 101ST PL S APT 2101

    JENKS, OK 740373582

    Phone:

    Type: Mailing

  • 4802 S 109TH EAST AVE

    TULSA, OK 741465822

    Phone: (918) 392-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $603.

Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.

Last reported payment date: 2023-12-16 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($603).

Total Amount

$603

General + Research + Ownership

Payments

3

Total payment records

General Amount

$603

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-16

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: 2022-03-07

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
I20220307000673INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes9796$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg6017$0
73564X-ray of knee, 4 or more views4141$0
72100X-ray of lower and sacral spine, 2-3 views3131$0
View full utilization report →

Insurance plans in this area (ZIP 74037)

Loading plans...

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: 2163501693View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Orthopedic SurgeryTX
Orthopedic SurgeryOK
Orthopedic SurgeryOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm MR. BRAXTON KYLE HUCKABEE (CNP)'s NPI?
Yes. MR. BRAXTON KYLE HUCKABEE (CNP) is listed with NPI 1023772696 in the public NPI dataset.
Is MR. BRAXTON KYLE HUCKABEE (CNP) listed as active for patients and plans?
The listing shows MR. BRAXTON KYLE HUCKABEE (CNP) as active in the NPI system.
What is MR. BRAXTON KYLE HUCKABEE (CNP)'s specialty?
The listing groups MR. BRAXTON KYLE HUCKABEE (CNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MR. BRAXTON KYLE HUCKABEE (CNP) on a map?
Expect Jenks, Oklahoma as a primary anchor for MR. BRAXTON KYLE HUCKABEE (CNP) unless the record lists multiple sites.
Why does MR. BRAXTON KYLE HUCKABEE (CNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

TYLER SMITH (NP)

Family Nurse Practitioner
11204 S CLEVELAND ST
NPI: 1538514419

MARCO NMN CRISCIONE (NP)

Nurse Practitioner
802 S Jackson Ave Ste 410
NPI: 1134645922

PAMELA SUE WOODWARD (APRN-CNP)

Acute Care Nurse Practitioner
South 2nd Street, Jenks, Tulsa County, Oklahoma, 74037, United States
NPI: 1013569524