KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) – Family Nurse Practitioner, NPI 1225618804

KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN-CNP, FNP-C. They hold a License No. 113764 (OK). The NPI Number for KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) is 1225618804

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C)
NPI
1225618804
Phone
(918) 994-3471
Address
4705 S 129TH EAST AVE
Enumeration Date
8 April 2021
Last Update Date
19 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187272780
Graduation Year
2021 (5 years ago)
PAC ID
1355733031
Group Practice PAC ID
8820410970
Professional Enrollment ID
I20220111000248
Address ID
OK744297138CO1149551XX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C)

  • 4705 S 129TH EAST AVE

    TULSA, OK 741347005

    Phone: (918) 994-3471

    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: 2022-01-11

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
I20220111000248INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes8076$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2929$0
99214Established patient office or other outpatient visit, 30-39 minutes2726$0
81003Automated urinalysis test2624$0
View full utilization report →

Insurance plans in this area (ZIP 74134)

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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: 8820410970View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I use this page to confirm KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C)'s NPI?
Yes. KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) is listed with NPI 1225618804 in the public NPI dataset.
Can I rely on KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) being an active provider?
As of the registry snapshot, KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) is marked active.
What healthcare role does KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) hold?
Scheduling teams often label KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C)?
KELLEY REBEKAH STUCKEY (MSN, APRN-CNP, FNP-C)'s geographic hint is Tulsa, Oklahoma in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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