DEVORAH ARCHER-WEBB (PA) – Physician Assistant, NPI 1063468650
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for DEVORAH ARCHER-WEBB (PA)
3705 NW 63rd St Ste 201
Oklahoma City, OK 731161937
Phone: (405) 252-7490
Type: Location
6501 S Western Ave
Oklahoma City, OK 731391709
Phone: (405) 632-4616
Type: Location
8106 N MAY AVE STE J
OKLAHOMA CITY, OK 731204524
Phone: (405) 632-4616
Type: Mailing
2967 OAK RUN PKWY STE 505, RM #12
NEW BRAUNFELS, TX 78132
Phone: (210) 598-2800
Type: Mailing
7316 N WESTERN AVE
OKLAHOMA CITY, OK 731167120
Phone: (405) 632-4616
Type: Location
OneCore Health, 1044, Southwest 44th Street, Oklahoma City, Oklahoma County, Oklahoma, 73109, United States
SUITE 600
OKLAHOMA CITY, OK 731093609
Phone: (405) 631-4263
Fax: (405) 631-4820
Type: Mailing
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: 2004-03-09
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 |
|---|---|---|---|---|
| I20040309000552 | I | Physician Assistant | 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 73116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Pain Management | OK |
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