DR. STACY MARIE CHRONISTER (D.O.) – Internal Medicine Physician, NPI 1194987750

DR. STACY MARIE CHRONISTER (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. P1629 (TX). The NPI Number for DR. STACY MARIE CHRONISTER (D.O.) is 1194987750

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY MARIE CHRONISTER (D.O.)
NPI
1194987750
Phone
(918) 382-5064
Address
717 S HOUSTON AVE STE 304
Enumeration Date
25 June 2008
Last Update Date
21 October 2019

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185615701
Graduation Year
2008 (18 years ago)
PAC ID
5991965899
Group Practice PAC ID
2769739358
Professional Enrollment ID
I20151113000137
Address ID
OK741072705TU2345XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

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Provider Addresses for DR. STACY MARIE CHRONISTER (D.O.)

  • 304, South Houston Avenue, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States

    TULSA, OK 741279023

    Phone: (918) 382-5064

    Fax: (918) 382-3589

    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 57 Open Payments records for all available years, with a total value of $50,449.

Total Amount is formed as General ($50,449) + Research ($0) + Ownership ($0) = $50,449.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($50,343).

Total Amount

$50,449

General + Research + Ownership

Payments

57

Total payment records

General Amount

$50,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2015-11-13

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
I20151113000137IInternal MedicineOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74127)

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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: 2769739358View full group profile
NameSpecialtyState
Neurology, PsychiatryOK
-OK
Family PracticeOK
Internal MedicineOK
Clinical PsychologistCO
Family PracticeOK
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeOK
Family PracticeOK
O B S T E T R I C S/ G Y N E C O L O G YOK

Reviews

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Frequently asked questions

Can I use this page to confirm DR. STACY MARIE CHRONISTER (D.O.)'s NPI?
Yes. DR. STACY MARIE CHRONISTER (D.O.) is listed with NPI 1194987750 in the public NPI dataset.
Is DR. STACY MARIE CHRONISTER (D.O.) listed as active for patients and plans?
The listing shows DR. STACY MARIE CHRONISTER (D.O.) as active in the NPI system.
What is DR. STACY MARIE CHRONISTER (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. STACY MARIE CHRONISTER (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. STACY MARIE CHRONISTER (D.O.) list a practice location?
Patients near Tulsa, Oklahoma may find DR. STACY MARIE CHRONISTER (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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