MICHELLE RENEE STURDIVANT (NP) – Adult Health Nurse Practitioner, NPI 1154873743

MICHELLE RENEE STURDIVANT (NP) is a healthcare provider. based in Moore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R0100094 (OK). The NPI Number for MICHELLE RENEE STURDIVANT (NP) is 1154873743

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE RENEE STURDIVANT (NP)
NPI
1154873743
Phone
(405) 595-6969
Address
616 SW 6TH ST
Enumeration Date
29 October 2016
Last Update Date
26 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5806541050
Graduation Year
2015 (11 years ago)
PAC ID
4183907579
Group Practice PAC ID
6800835935
Professional Enrollment ID
I20170209000208
Address ID
OK730150097CA102XXBROA300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MICHELLE RENEE STURDIVANT (NP)

  • 616, Southwest 6th Street, Moore, Cleveland County, Oklahoma, 73160, United States

    MOORE, OK 731602511

    Phone: (405) 595-6969

    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)

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: 2017-02-09

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
I20170209000208INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4929$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3228$0
99238Hospital discharge day management, 30 minutes or less1615$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 6800835935View full group profile
NameSpecialtyState
Internal MedicineOK
General Practice, Emergency MedicineOK
General PracticeFL
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What NPI should I save for MICHELLE RENEE STURDIVANT (NP)?
Save NPI 1154873743 if you need a stable reference for MICHELLE RENEE STURDIVANT (NP).
Is MICHELLE RENEE STURDIVANT (NP) active in the national directory?
MICHELLE RENEE STURDIVANT (NP)'s public NPI profile is in an active state.
What field does MICHELLE RENEE STURDIVANT (NP) work in?
You can think of MICHELLE RENEE STURDIVANT (NP) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MICHELLE RENEE STURDIVANT (NP)?
We surface Moore, Oklahoma for MICHELLE RENEE STURDIVANT (NP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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