CONNIE LYNN WHITAKER (APRN, FNP-C) – Family Nurse Practitioner, NPI 1083238612

CONNIE LYNN WHITAKER (APRN, FNP-C) is a healthcare provider. based in Norman, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 92179 (OK). The NPI Number for CONNIE LYNN WHITAKER (APRN, FNP-C) is 1083238612

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE LYNN WHITAKER (APRN, FNP-C)
NPI
1083238612
Phone
(405) 977-4321
Address
808 WALL ST
Enumeration Date
29 May 2020
Last Update Date
30 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058444978
Graduation Year
2020 (6 years ago)
PAC ID
1951723675
Group Practice PAC ID
0446239743
Professional Enrollment ID
I20200624003418
Address ID
OK730696302NO808XXSTXX300

Contacts

Other Endpoint
na
Other Endpoint
Na
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

3,299 NURSE PRACTITIONER in OK

Provider Addresses for CONNIE LYNN WHITAKER (APRN, FNP-C)

  • 808 WALL ST

    NORMAN, OK 730696302

    Phone: (405) 977-4321

    Type: Mailing

  • 5370 NW CACHE RD STE 4

    LAWTON, OK 735053371

    Phone: (580) 771-2011

    Type: Mailing

  • 1200 CHILDRENS AVE STE 14612

    OKLAHOMA CITY, OK 731044637

    Phone: (405) 371-4211

    Fax: (405) 271-1154

    Type: Mailing

  • 1200 CHILDRENS AVE STE 5D

    OKLAHOMA CITY, OK 731044637

    Phone: (405) 271-7086

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,198.

Total Amount is formed as General ($1,198) + Research ($0) + Ownership ($0) = $1,198.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Janssen Biotech, Inc. ($569).

Total Amount

$1,198

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2020-06-24

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
I20200624003418INurse 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
36415Insertion of needle into vein for collection of blood sample2625$0
86140Measurement c-reactive protein for detection of infection or inflammation2020$0
86200Measurement of antibody for rheumatoid arthritis assessment2020$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 73069)

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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: 0446239743View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
Rheumatology, Internal MedicineOK
Physician AssistantOK
General PracticeOK
Nurse PractitionerTN
Physician AssistantOK
Nurse PractitionerOK
Rheumatology, Family PracticeOK
N E U R O L O G YOK

Reviews

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Frequently asked questions

What unique ID ties claims to CONNIE LYNN WHITAKER (APRN, FNP-C)?
NPI 1083238612 is assigned to CONNIE LYNN WHITAKER (APRN, FNP-C) under the national enumeration system.
Is CONNIE LYNN WHITAKER (APRN, FNP-C)'s NPI currently valid?
The extract we use shows CONNIE LYNN WHITAKER (APRN, FNP-C) as active.
Does CONNIE LYNN WHITAKER (APRN, FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for CONNIE LYNN WHITAKER (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for CONNIE LYNN WHITAKER (APRN, FNP-C)?
We surface Norman, Oklahoma for CONNIE LYNN WHITAKER (APRN, FNP-C) based on available NPPES addresses.
How can I contact CONNIE LYNN WHITAKER (APRN, FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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