SUSANNA CAROL MCDANIEL – Acute Care Nurse Practitioner, NPI 1174131288

SUSANNA CAROL MCDANIEL is a healthcare provider. based in Okmulgee, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 82443 (OK). The NPI Number for SUSANNA CAROL MCDANIEL is 1174131288

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNA CAROL MCDANIEL
NPI
1174131288
Phone
(918) 756-4233
Address
1401 MORRIS DR
Enumeration Date
15 July 2020
Last Update Date
30 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186842101
Graduation Year
2020 (6 years ago)
PAC ID
1254750375
Group Practice PAC ID
9931562956
Professional Enrollment ID
I20200923001042
Address ID
OK744015075MU300XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SUSANNA CAROL MCDANIEL

  • 1401 MORRIS DR

    OKMULGEE, OK 744476429

    Phone: (918) 756-4233

    Type: Location

  • 2401 W OMAHA ST APT 2315

    BROKEN ARROW, OK 740120652

    Phone: (918) 856-1385

    Type: Mailing

  • 1145 S UTICA AVE STE 701

    TULSA, OK 741044019

    Phone: (918) 582-6544

    Fax: (918) 550-7544

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,471.

Total Amount is formed as General ($1,471) + Research ($0) + Ownership ($0) = $1,471.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($278).

Total Amount

$1,471

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,471

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2022-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200923001042INurse PractitionerOKTBD
I20220614002499INurse PractitionerTXTBD

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 minutes3632$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 74447)

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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: 9931562956View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OK
Emergency MedicineOK
Family PracticePA
Nurse PractitionerKS
Nurse PractitionerOK
Internal MedicineNY
Family PracticeOK
Physician AssistantOK
Internal MedicineOK
Internal MedicineOK

Reviews

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Frequently asked questions

Does SUSANNA CAROL MCDANIEL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSANNA CAROL MCDANIEL uses 1174131288.
Does the file indicate SUSANNA CAROL MCDANIEL is practicing under active NPI?
Directory data currently reports SUSANNA CAROL MCDANIEL as active.
What taxonomy line describes SUSANNA CAROL MCDANIEL?
For research purposes, treat SUSANNA CAROL MCDANIEL as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SUSANNA CAROL MCDANIEL based?
SUSANNA CAROL MCDANIEL is tied to Okmulgee, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does SUSANNA CAROL MCDANIEL have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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