AUDRIANNA SPARKS – Family Nurse Practitioner, NPI 1245766294

AUDRIANNA SPARKS is a healthcare provider. based in Moore, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 71012525A (IN). The NPI Number for AUDRIANNA SPARKS is 1245766294

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
AUDRIANNA SPARKS
NPI
1245766294
Phone
(405) 659-5525
Address
1604 SW 38TH ST
Enumeration Date
11 May 2017
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074695088
Graduation Year
2017 (9 years ago)
PAC ID
1355615626
Group Practice PAC ID
0749714707
Professional Enrollment ID
I20221117000219
Address ID
FL328117192OR4901XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:9State licenses:15Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for AUDRIANNA SPARKS

  • 1604 SW 38TH ST

    MOORE, OK 731602953

    Phone: (405) 659-5525

    Type: Location

  • 801 E Douglas Ave Fl 2

    Wichita, KS 672023548

    Phone: (888) 731-8994

    Type: Location

  • 301 Main St Ste 2200

    Baton Rouge, LA 708010014

    Phone: (888) 731-8994

    Type: Location

  • 100 Cambridge St Fl 14

    Boston, MA 021142509

    Phone: (888) 731-8994

    Type: Location

  • One Sun Plaza, :100 Sun Ave Suite 650

    Albuquerque, NM 87109

    Phone: (888) 731-8994

    Type: Location

  • 1531 32nd Ave S Ste 102

    Fargo, ND 581035911

    Phone: (888) 731-8994

    Type: Location

  • 1050 SW 6th Ave Ste 1100

    Portland, OR 972041153

    Phone: (888) 731-8994

    Type: Location

  • 121 Washington Ave N Fl 2

    Minneapolis, MN 554012503

    Phone: (888) 731-8994

    Type: Location

  • 3636 S Geyer Rd Ste 100

    Saint Louis, MO 631271237

    Phone: (888) 731-8994

    Type: Location

  • 1299 Farnam St Ste 300

    Omaha, NE 681021857

    Phone: (888) 731-8994

    Type: Location

  • 111 W Jackson Blvd Ste 1700

    Chicago, IL 606043597

    Phone: (888) 731-8994

    Type: Location

  • 15333 N Pima Rd Ste 305

    Scottsdale, AZ 852602717

    Phone: (888) 731-8994

    Type: Location

  • 999 18th St Ste 3000

    Denver, CO 802022449

    Phone: (888) 731-8994

    Type: Location

  • 950 W Bannock St Ste 1100

    Boise, ID 837026140

    Phone: (888) 731-8994

    Type: Location

  • 600 N Brush St

    Fremont, OH 434201402

    Phone: (419) 334-9521

    Type: Location

  • 1455 Hospital Rd

    Silvis, IL 612821834

    Phone: (309) 865-7130

    Type: Location

  • Northeast 36th Street, Oklahoma City, Oklahoma County, Oklahoma, 73020, United States

    OKLAHOMA CITY, OK 731057203

    Phone:

    Type: Mailing

  • 400 S 4th St Ste 500

    Las Vegas, NV 891016207

    Phone: (888) 731-8994

    Type: Location

  • 101 S Reid St Ste 307

    Sioux Falls, SD 571037045

    Phone: (888) 731-8994

    Type: Location

  • 325 N Saint Paul St Ste 3100

    Dallas, TX 752013923

    Phone: (888) 731-8994

    Type: Location

  • 450 Alaskan Way S Ste 200

    Seattle, WA 981042785

    Phone: (888) 731-8994

    Type: Location

  • 232 Capitol St Ste 18

    Charleston, WV 253012234

    Phone: (888) 731-8994

    Type: Location

  • 111 N Orange Ave Ste 800

    Orlando, FL 328012381

    Phone: (888) 731-8994

    Type: Location

  • 699 Walnut St Ste 4

    Des Moines, IA 503093949

    Phone: (888) 731-8994

    Type: Location

  • 201 North Illinois Street, 16th Floor, South Tower

    Indianapolis, IN 46204

    Phone: (888) 731-8994

    Type: Location

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: 2025-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 18 Medicare enrollment records; no due dates published yet.

Enrollment records

18

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
I20170926000549INurse PractitionerOKTBD
I20221117000219INurse PractitionerFLTBD
I20230120001081INurse PractitionerAZTBD
I20230124000967INurse PractitionerMATBD
I20230204000519INurse PractitionerKSTBD
I20230206001573INurse PractitionerCOTBD
I20230330001476INurse PractitionerWATBD
I20240711003699INurse PractitionerNETBD
I20240910004377INurse PractitionerNMTBD
I20240913002050INurse PractitionerINTBD
I20240913002328INurse PractitionerIATBD
I20240930001692INurse PractitionerMOTBD
I20241023001511INurse PractitionerLATBD
I20241108002139INurse PractitionerTXTBD
I20241127003779INurse PractitionerOHTBD
I20241217000466INurse PractitionerWITBD
I20250122001384INurse PractitionerMNTBD
I20250213000616INurse PractitionerILTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes604178$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes520214$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6666$0
99284Emergency department visit with moderate level of medical decision making3838$0
99285Emergency department visit with high level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 0749714707View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantTN
Physician AssistantKY
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify AUDRIANNA SPARKS with an NPI only?
You can start verification with NPI 1245766294 for AUDRIANNA SPARKS, then check state licensing separately.
Can I rely on AUDRIANNA SPARKS being an active provider?
As of the registry snapshot, AUDRIANNA SPARKS is marked active.
What taxonomy line describes AUDRIANNA SPARKS?
For research purposes, treat AUDRIANNA SPARKS as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for AUDRIANNA SPARKS?
AUDRIANNA SPARKS's geographic hint is Moore, Oklahoma in our summary view.
How many locations tie to this NPI?
27 practice locations appear in the available data.

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