SHANNON LEI KIBBLE (APRN-CNP) – Nurse Practitioner, NPI 1144452848

SHANNON LEI KIBBLE (APRN-CNP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Nurse Practitioner. They hold the professional credentials APRN-CNP. They hold a License No. 0069109 (OK). The NPI Number for SHANNON LEI KIBBLE (APRN-CNP) is 1144452848

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LEI KIBBLE (APRN-CNP)
NPI
1144452848
Phone
(918) 592-0999
Address
1265 S. UTICA AVE
Enumeration Date
13 August 2009
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9182251233
Graduation Year
2009 (17 years ago)
PAC ID
3476609058
Group Practice PAC ID
4587737135
Professional Enrollment ID
I20090923000404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for SHANNON LEI KIBBLE (APRN-CNP)

  • South Utica Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74120, United States

    SUITE 300

    TULSA, OK 74104

    Phone: (918) 592-0999

    Fax: (918) 592-1021

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $350.

Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($158).

Total Amount

$350

General + Research + Ownership

Payments

8

Total payment records

General Amount

$350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

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: 2009-09-23

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
I20090923000404INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes134117$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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
Nurse PractitionerOK
-OK
Interventional CardiologyOK
-OK
Certified Clinical Nurse Specialist (Cns)OK
Physician AssistantOK
Interventional CardiologyOK

Reviews

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Frequently asked questions

Is SHANNON LEI KIBBLE (APRN-CNP) listed with a National Provider Identifier?
Yes — SHANNON LEI KIBBLE (APRN-CNP) has NPI 1144452848 on file in the registry.
Would SHANNON LEI KIBBLE (APRN-CNP) appear as active to a payer?
You can treat SHANNON LEI KIBBLE (APRN-CNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SHANNON LEI KIBBLE (APRN-CNP)?
At a glance, SHANNON LEI KIBBLE (APRN-CNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with SHANNON LEI KIBBLE (APRN-CNP)?
Directory geography for SHANNON LEI KIBBLE (APRN-CNP) centers on Tulsa, Oklahoma.
Can I trust this NPI listing for SHANNON LEI KIBBLE (APRN-CNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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