DR. ALLISSA MARIE WHITE (MD) – Family Medicine Physician, NPI 1043877756
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for DR. ALLISSA MARIE WHITE (MD)
Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
OKLAHOMA CITY, OK 731124517
Phone:
Type: Mailing
3500, Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
OKLAHOMA CITY, OK 731124529
Phone: (405) 951-2855
Type: Location
1200 E PECAN ST
ALTUS, OK 735216141
Phone: (580) 379-5000
Fax: (580) 379-5509
Type: Mailing
205 S PARK LN
ALTUS, OK 735215755
Phone: (580) 379-6700
Fax: (580) 379-6704
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $570.
Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($154).
Total Amount
$570
General + Research + Ownership
Payments
35
Total payment records
General Amount
$570
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-08-31
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 |
|---|---|---|---|---|
| I20210831003812 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Hospitalist, Internal Medicine | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Clinical Social Worker | OK | |
| Family Practice | OK | |
| - | OK | |
| Family Practice | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | LA | |
| - | OK |
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