KENDRA K STACEY (ARNP) – Family Nurse Practitioner, NPI 1124014790
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for KENDRA K STACEY (ARNP)
102, Northwest 31st Street, Lawton, Comanche County, Oklahoma, 73505, United States
LAWTON, OK 73505
Phone: (580) 353-6790
Fax: (580) 510-7019
Type: Location
PO BOX 785
LAWTON, OK 73502
Phone: (580) 357-9984
Fax: (580) 357-3277
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Novo Nordisk Inc ($37).
Total Amount
$125
General + Research + Ownership
Payments
6
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-02-15
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 |
|---|---|---|---|---|
| I20100215000570 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 284 | 129 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 163 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 79 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 24 | $0 |
| 81003 | Automated urinalysis test | 30 | 17 | $0 |
Insurance plans in this area (ZIP 73505)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Internal Medicine | OK | |
| - | TX | |
| - | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine, Family Practice, Internal Medicine | PA | |
| N E U R O L O G Y | NC | |
| Certified Nurse Midwife (Cnm) | UT | |
| Nurse Practitioner | OK |
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