WALTER CLINTON MAXCEY (APRN-CNP) – Family Nurse Practitioner, NPI 1265943476

WALTER CLINTON MAXCEY (APRN-CNP) is a healthcare provider. based in Guymon, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 120518 (OK). The NPI Number for WALTER CLINTON MAXCEY (APRN-CNP) is 1265943476

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
WALTER CLINTON MAXCEY (APRN-CNP)
NPI
1265943476
Phone
(580) 338-2637
Address
400 NE 12th St
Enumeration Date
14 October 2017
Last Update Date
19 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184907011
Graduation Year
2017 (9 years ago)
PAC ID
4880953892
Group Practice PAC ID
9931139029
Professional Enrollment ID
I20180122000270
Address ID
OK744323205EU111XXBXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for WALTER CLINTON MAXCEY (APRN-CNP)

  • 400 NE 12th St

    Guymon, OK 739423655

    Phone: (580) 338-2637

    Fax: (580) 338-2652

    Type: Location

  • 531 E Washington Ave

    McAlester, OK 745014761

    Phone: (918) 470-3926

    Type: Location

  • North Broadway Avenue, Ada, Pontotoc County, Oklahoma, 74820, United States

    ADA, OK 748201403

    Phone: (580) 421-7850

    Fax: (580) 421-7855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-01-22

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
I20180122000270INurse 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 minutes8073$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3131$0
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
81002Urinalysis, manual test1717$0
View full utilization report →

Insurance plans in this area (ZIP 73942)

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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: 9931139029View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for WALTER CLINTON MAXCEY (APRN-CNP)?
WALTER CLINTON MAXCEY (APRN-CNP) — NPI 1265943476 — is the standard way to identify this listing.
Is WALTER CLINTON MAXCEY (APRN-CNP) listed as active for patients and plans?
The listing shows WALTER CLINTON MAXCEY (APRN-CNP) as active in the NPI system.
What is WALTER CLINTON MAXCEY (APRN-CNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for WALTER CLINTON MAXCEY (APRN-CNP) here. Clinical services aligned with this taxonomy classification.
Does WALTER CLINTON MAXCEY (APRN-CNP) list a practice location?
Patients near Guymon, Oklahoma may find WALTER CLINTON MAXCEY (APRN-CNP) in results; validate coverage separately.
Why does WALTER CLINTON MAXCEY (APRN-CNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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