BRANDI STRAYHORN – Medical Physician Assistant, NPI 1205173747

BRANDI STRAYHORN is a healthcare provider. based in Shawnee, Oklahoma. specializing in PHYSICIAN ASSISTANT. The NPI Number for BRANDI STRAYHORN is 1205173747

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
BRANDI STRAYHORN
NPI
1205173747
Phone
Not provided
Address
3700 N KICKAPOO AVE
Enumeration Date
3 January 2013
Last Update Date
25 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0648411645
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20180821000893
Address ID
OK731021049OK608XXSTXX400

Contacts

Secure Messaging
brandi.strayhorn.2@4696.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:13State licenses:0Other namesUpdated within 12 months

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for BRANDI STRAYHORN

  • 3700 N KICKAPOO AVE

    SHAWNEE, OK 748041707

    Phone:

    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: 2018-08-21

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
I20130801000795IPhysician AssistantTXTBD
I20180821000893IPhysician AssistantOKTBD

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 minutes208107$0
99213Established patient office or other outpatient visit, 20-29 minutes13075$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8787$0
View full utilization report →

Insurance plans in this area (ZIP 74804)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

Is BRANDI STRAYHORN listed with a National Provider Identifier?
Yes — BRANDI STRAYHORN has NPI 1205173747 on file in the registry.
Active or inactive — what applies to BRANDI STRAYHORN?
You should see BRANDI STRAYHORN as active in CMS-hosted NPPES data.
What area of care is associated with BRANDI STRAYHORN?
BRANDI STRAYHORN's record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRANDI STRAYHORN?
Travel planning: use Shawnee, Oklahoma as the reference point for BRANDI STRAYHORN, then confirm.
When was this NPI issued?
Enumeration for BRANDI STRAYHORN is noted as January 3, 2013 where the registry provides it.

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