MRS. DESIRAE JO FORD (ARNP-CNP) – Acute Care Nurse Practitioner, NPI 1265876817

MRS. DESIRAE JO FORD (ARNP-CNP) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP-CNP. They hold a License No. 82717 (OK). The NPI Number for MRS. DESIRAE JO FORD (ARNP-CNP) is 1265876817

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DESIRAE JO FORD (ARNP-CNP)
NPI
1265876817
Phone
(405) 949-3349
Address
5300 N INDEPENDENCE AVE
Enumeration Date
25 April 2013
Last Update Date
5 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059475557
Graduation Year
2012 (14 years ago)
PAC ID
0244465094
Group Practice PAC ID
6507873403
Professional Enrollment ID
I20131101000710
Address ID
OK731124418OK3300XNWXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. DESIRAE JO FORD (ARNP-CNP)

  • 5300 N INDEPENDENCE AVE

    SUITE 280

    OKLAHOMA CITY, OK 731125556

    Phone: (405) 949-3349

    Fax: (405) 552-0450

    Type: Mailing

  • 3300 NW EXPRESSWAY

    OKLAHOMA CITY, OK 731124418

    Phone: (405) 949-3349

    Fax: (405) 552-0450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Abbott Laboratories ($149).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$149
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: 2013-11-01

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
I20131101000710INurse 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
99291Critical care, first 30-74 minutes3225$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Provider's Procedures

MRS. DESIRAE JO FORD (ARNP-CNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROK36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1212

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: 6507873403View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerCO
Anesthesiology, Critical Care (Intensivists)OK
Internal Medicine, GastroenterologyGA
Physician AssistantOK
U R O L O G YOK
Family Practice, HospitalistOK
General SurgeryOK
U R O L O G YOK

Reviews

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Frequently asked questions

Can I cross-check MRS. DESIRAE JO FORD (ARNP-CNP) using NPI 1265876817?
NPI 1265876817 belongs to MRS. DESIRAE JO FORD (ARNP-CNP); compare other details if you need extra assurance.
Is there an active status for MRS. DESIRAE JO FORD (ARNP-CNP)?
For scheduling context, MRS. DESIRAE JO FORD (ARNP-CNP) is shown as active in the registry.
What area of care is associated with MRS. DESIRAE JO FORD (ARNP-CNP)?
MRS. DESIRAE JO FORD (ARNP-CNP)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. DESIRAE JO FORD (ARNP-CNP) located near Oklahoma City?
MRS. DESIRAE JO FORD (ARNP-CNP) currently maps to Oklahoma City, Oklahoma in this extract.
When was this NPI issued?
Enumeration for MRS. DESIRAE JO FORD (ARNP-CNP) is noted as April 25, 2013 where the registry provides it.

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