MR. SPENCER ELIJAH WOPART (APRN, CNP) – Nurse Practitioner, NPI 1194322719

MR. SPENCER ELIJAH WOPART (APRN, CNP) is a healthcare provider. based in Edmond, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 121897 (OK). The NPI Number for MR. SPENCER ELIJAH WOPART (APRN, CNP) is 1194322719

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. SPENCER ELIJAH WOPART (APRN, CNP)
NPI
1194322719
Phone
(405) 844-4978
Address
1701 RENAISSANCE BLVD
Enumeration Date
6 October 2020
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5392155609
Graduation Year
2020 (6 years ago)
PAC ID
1658784681
Group Practice PAC ID
0446239743
Professional Enrollment ID
I20210111002779
Address ID
OK741453721TU9322XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MR. SPENCER ELIJAH WOPART (APRN, CNP)

  • 1701 RENAISSANCE BLVD

    EDMOND, OK 730133086

    Phone: (405) 844-4978

    Fax: (405) 844-4978

    Type: Mailing

  • 9322 E 41ST ST

    TULSA, OK 741453721

    Phone: (539) 215-5609

    Fax: (539) 233-2480

    Type: Location

  • 9311 S Mingo Rd

    Tulsa, OK 741335702

    Phone: (918) 307-1613

    Fax: (918) 307-2454

    Type: Location

  • 8510 N 123rd East Ave

    Owasso, OK 740552149

    Phone: (918) 307-1613

    Fax: (918) 307-2454

    Type: Location

  • 1727 S Utica Ave

    Tulsa, OK 741045317

    Phone: (918) 307-1613

    Fax: (918) 307-2454

    Type: Location

  • 6802 S Olympia Ave Ste 150

    Tulsa, OK 741321852

    Phone: (918) 307-1613

    Fax: (918) 307-2454

    Type: Location

  • 224 SE DeBell Ave

    Bartlesville, OK 740062305

    Phone: (918) 307-1613

    Fax: (918) 307-2454

    Type: Location

  • 9311 S MINGO RD

    TULSA, OK 741335702

    Phone: (918) 307-1613

    Fax: (918) 307-2454

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $433.

Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Averitas Pharma Inc. ($377).

Total Amount

$433

General + Research + Ownership

Payments

20

Total payment records

General Amount

$433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2021-01-11

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
I20210111002779INurse 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
J7336Capsaicin 8% patch, per square centimeter29,02019$0
J1955Injection, levocarnitine, per 1 gm4,930257$0
96372Injection of drug or substance under skin or into muscle4,902258$0
J3415Injection, pyridoxine hcl, 100 mg4,884255$0
J3411Injection, thiamine hcl, 100 mg4,588255$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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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: 0446239743View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
Rheumatology, Internal MedicineOK
Nurse PractitionerOK
Physician AssistantOK
General PracticeOK
Nurse PractitionerTN
Physician AssistantOK
Rheumatology, Family PracticeOK
N E U R O L O G YOK

Reviews

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Frequently asked questions

Does MR. SPENCER ELIJAH WOPART (APRN, CNP) have a public NPI I can cite?
Public records show MR. SPENCER ELIJAH WOPART (APRN, CNP) under NPI 1194322719.
Should I treat MR. SPENCER ELIJAH WOPART (APRN, CNP) as an active provider?
Patients and plans typically see MR. SPENCER ELIJAH WOPART (APRN, CNP) as active in the national extract.
What services align with MR. SPENCER ELIJAH WOPART (APRN, CNP)'s listing?
MR. SPENCER ELIJAH WOPART (APRN, CNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MR. SPENCER ELIJAH WOPART (APRN, CNP) in Edmond, Oklahoma?
For routing, start with Edmond, Oklahoma for MR. SPENCER ELIJAH WOPART (APRN, CNP), then verify phone and hours locally.
Can I export MR. SPENCER ELIJAH WOPART (APRN, CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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