SHANDY BAGGS (ARNP) – Nurse Practitioner, NPI 1083999403

SHANDY BAGGS (ARNP) is a healthcare provider. based in Shattuck, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 74124 (OK). The NPI Number for SHANDY BAGGS (ARNP) is 1083999403

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SHANDY BAGGS (ARNP)
NPI
1083999403
Phone
(580) 938-5400
Address
PO BOX 827
Enumeration Date
17 October 2011
Last Update Date
17 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5809382551
Graduation Year
2011 (15 years ago)
PAC ID
5395910715
Group Practice PAC ID
2567482367
Professional Enrollment ID
I20111214000420
Address ID
OK738589205SH905XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SHANDY BAGGS (ARNP)

  • PO BOX 827

    404 S MAIN

    SHATTUCK, OK 738580827

    Phone: (580) 938-5400

    Fax: (580) 938-5409

    Type: Mailing

  • 404 S MAIN

    SHATTUCK, OK 73858

    Phone: (580) 938-5400

    Fax: (580) 938-5409

    Type: Location

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: 2011-12-14

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
I20111214000420INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73858)

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Provider's Procedures

SHANDY BAGGS (ARNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROK81002Urinalysis, manual test3627

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: 2567482367View full group profile
NameSpecialtyState
Nurse PractitionerCO
O T O L A R Y N G O L O G YOK
Nurse PractitionerOK
Family PracticeOK
Certified Nurse Midwife (Cnm)NC
Family Practice, General Practice, Emergency MedicineOK
H E M A T O L O G Y/ O N C O L O G YAZ
Emergency MedicineOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHANDY BAGGS (ARNP)?
SHANDY BAGGS (ARNP) — NPI 1083999403 — is the standard way to identify this listing.
Is SHANDY BAGGS (ARNP) still practicing?
SHANDY BAGGS (ARNP) is currently listed as active in the public NPI registry.
What taxonomy line describes SHANDY BAGGS (ARNP)?
For research purposes, treat SHANDY BAGGS (ARNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does SHANDY BAGGS (ARNP) list a practice location?
Patients near Shattuck, Oklahoma may find SHANDY BAGGS (ARNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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