MARYSUE ELIZABETH FARRIS (APRN) – Nurse Practitioner, NPI 1073967246

MARYSUE ELIZABETH FARRIS (APRN) is a healthcare provider. based in Moore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R0050272 (OK). The NPI Number for MARYSUE ELIZABETH FARRIS (APRN) is 1073967246

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MARYSUE ELIZABETH FARRIS (APRN)
NPI
1073967246
Phone
(405) 237-7500
Address
2900 S TELEPHONE RD
Enumeration Date
14 April 2016
Last Update Date
11 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052130192
Graduation Year
2016 (10 years ago)
PAC ID
4688952567
Group Practice PAC ID
5294960696
Professional Enrollment ID
I20161027001176
Address ID
OK741455760TU4853XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:10State licenses:3Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MARYSUE ELIZABETH FARRIS (APRN)

  • 2900, South Telephone Road, Moore, Cleveland County, Oklahoma, 73160, United States

    SUITE 250

    MOORE, OK 731602968

    Phone: (405) 237-7500

    Type: Location

  • 35737 HAMILTON RD

    WANETTE, OK 748786025

    Phone: (405) 808-6160

    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: 2016-10-27

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
I20161027001176INurse 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
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)8078$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)6460$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6059$0
81003Automated urinalysis test5752$0
87400Detection test by immunoassay technique for influenza virus4924$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 5294960696View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MARYSUE ELIZABETH FARRIS (APRN)'s NPI?
Yes. MARYSUE ELIZABETH FARRIS (APRN) is listed with NPI 1073967246 in the public NPI dataset.
Can I rely on MARYSUE ELIZABETH FARRIS (APRN) being an active provider?
As of the registry snapshot, MARYSUE ELIZABETH FARRIS (APRN) is marked active.
What is MARYSUE ELIZABETH FARRIS (APRN) best known for clinically?
Directory data describes MARYSUE ELIZABETH FARRIS (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MARYSUE ELIZABETH FARRIS (APRN) serve?
MARYSUE ELIZABETH FARRIS (APRN)'s listing highlights Moore, Oklahoma; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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