MR. CLIFTON STAUFFER – Acute Care Nurse Practitioner, NPI 1093361750

MR. CLIFTON STAUFFER is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. R0089177 (OK). The NPI Number for MR. CLIFTON STAUFFER is 1093361750

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. CLIFTON STAUFFER
NPI
1093361750
Phone
(918) 261-5824
Address
16509 E 49TH PL
Enumeration Date
16 August 2019
Last Update Date
9 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185920999
Graduation Year
2019 (7 years ago)
PAC ID
2365774536
Group Practice PAC ID
4587737135
Professional Enrollment ID
I20191022001008
Address ID
OK741335722TU9228XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MR. CLIFTON STAUFFER

  • 16509, East 49th Place, Trinity Creek, Tulsa, Tulsa County, Oklahoma, 74134, United States

    TULSA, OK 741347190

    Phone: (918) 261-5824

    Type: Location

  • 1265 S UTICA AVE STE 300

    TULSA, OK 741044243

    Phone: (918) 592-0999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-12-08 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-10-22

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
I20191022001008INurse 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 74134)

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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: 4587737135View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OK
-OK
Certified Clinical Nurse Specialist (Cns)OK
-OK
Interventional CardiologyOK
-OK
-OK
Certified Clinical Nurse Specialist (Cns)OK
Physician AssistantOK
Interventional CardiologyOK

Reviews

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Frequently asked questions

What is the standard ID for MR. CLIFTON STAUFFER in the U.S.?
In the U.S., MR. CLIFTON STAUFFER is identified by NPI 1093361750.
Is MR. CLIFTON STAUFFER's NPI status active today?
Active status means MR. CLIFTON STAUFFER's NPI record is not deactivated in the public file.
What type of care does MR. CLIFTON STAUFFER provide?
MR. CLIFTON STAUFFER's profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. CLIFTON STAUFFER?
MR. CLIFTON STAUFFER is associated with Tulsa, Oklahoma in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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