SHAWNA KAY PASSMAN (DO) – Family Medicine Physician, NPI 1265921449
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for SHAWNA KAY PASSMAN (DO)
Northeastern Health System, 1400, East Downing Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States
TAHLEQUAH, OK 744643324
Phone: (918) 458-2406
Fax: (918) 456-8886
Type: Location
6951 SE 15th St
Midwest City, OK 731102748
Phone: (405) 233-0450
Fax: (405) 984-4407
Type: Location
11511 E 31 St
Tulsa, OK 741461908
Phone: (918) 400-7002
Type: Location
100 S Bliss Ave
Tahlequah, OK 744642512
Phone: (918) 458-3100
Type: Location
1400 E Downing St
Tahlequah, OK 744643324
Phone: (918) 458-2406
Fax: (918) 456-8886
Type: Location
2405 W Main St Ste A
Henryetta, OK 744373893
Phone: (918) 650-1180
Type: Location
550 S Peoria Ave
Tulsa, OK 741203820
Phone: (918) 588-1900
Fax: (918) 382-1285
Type: Location
2405 W MAIN ST STE A
HENRYETTA, OK 744373893
Phone: (918) 650-1180
Type: Location
550 S PEORIA AVE
TULSA, OK 741203820
Phone: (918) 588-1900
Fax: (918) 382-1285
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Pulmonx Corporation ($110).
Total Amount
$237
General + Research + Ownership
Payments
4
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pulmonx Corporation | $110 |
| Pharmacosmos Therapeutics Inc. | $88 |
| Amgen Inc. | $38 |
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: 2021-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200227000400 | I | Family Practice | TX | TBD |
| I20210720001295 | I | Family Practice | OK | TBD |
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.
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 74464)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | OK | |
| Clinical Social Worker | OK | |
| Registered Dietitian Or Nutrition Professional | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Internal Medicine | TX | |
| - | OK | |
| P S Y C H I A T R Y | OK | |
| Mental Health Counselor | OK | |
| Pediatric Medicine | OK |
Reviews
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