KENDALL PHILLIPS (FNP) – Family Nurse Practitioner, NPI 1346819802

KENDALL PHILLIPS (FNP) is a healthcare provider. based in Hugo, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 204182 (OK). The NPI Number for KENDALL PHILLIPS (FNP) is 1346819802

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KENDALL PHILLIPS (FNP)
NPI
1346819802
Phone
(803) 722-8195
Address
111 N 3RD ST
Enumeration Date
20 June 2021
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803722819
Graduation Year
2021 (5 years ago)
PAC ID
9234528977
Professional Enrollment ID
I20211117003167
Address ID
OK747434001HU111XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KENDALL PHILLIPS (FNP)

  • 111 N 3RD ST

    HUGO, OK 747434001

    Phone: (803) 722-8195

    Type: Mailing

  • 416020 E 1951 RD

    ANTLERS, OK 745237445

    Phone: (903) 908-1008

    Type: Mailing

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: 2021-11-17

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
I20211117003167INurse 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
J0696Injection, ceftriaxone sodium, per 250 mg17237$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16819$0
99213Established patient office or other outpatient visit, 20-29 minutes13287$0
96372Injection of drug or substance under skin or into muscle9443$0
99214Established patient office or other outpatient visit, 30-39 minutes6853$0
View full utilization report →

Insurance plans in this area (ZIP 74743)

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Reviews

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Frequently asked questions

What federal number belongs to KENDALL PHILLIPS (FNP)?
The federal identifier for KENDALL PHILLIPS (FNP) is NPI 1346819802.
Is KENDALL PHILLIPS (FNP) active in the national directory?
KENDALL PHILLIPS (FNP)'s public NPI profile is in an active state.
Can you summarize KENDALL PHILLIPS (FNP)'s specialty in plain language?
Clinically, the directory lists KENDALL PHILLIPS (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KENDALL PHILLIPS (FNP)?
The page summarizes Hugo, Oklahoma for KENDALL PHILLIPS (FNP); expand the address list for detail.
Is KENDALL PHILLIPS (FNP) a real provider?
This page reflects official NPPES data for NPI 1346819802. Always confirm identity and privileges with the practice and licensing boards.

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