MRS. KENDRA KAY GORE (CNP-FAMILY) – Family Nurse Practitioner, NPI 1366001398

MRS. KENDRA KAY GORE (CNP-FAMILY) is a healthcare provider. based in Kingfisher, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP-FAMILY. They hold a License No. 99814 (OK). The NPI Number for MRS. KENDRA KAY GORE (CNP-FAMILY) is 1366001398

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KENDRA KAY GORE (CNP-FAMILY)
NPI
1366001398
Phone
(405) 538-8600
Address
22814 CTERLING DR
Enumeration Date
12 June 2019
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053915526
Graduation Year
2019 (7 years ago)
PAC ID
2769713239
Group Practice PAC ID
0840555777
Professional Enrollment ID
I20191015000391
Address ID
OK730456591HA21001STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MRS. KENDRA KAY GORE (CNP-FAMILY)

  • Cterling Avenue, Kingfisher County, Oklahoma, 73750, United States

    KINGFISHER, OK 737502349

    Phone: (405) 538-8600

    Type: Location

  • 22814 Cterling Dr

    Kingfisher, OK 737502349

    Phone: (405) 538-8600

    Type: Location

  • 102 STARLITE DR

    KINGFISHER, OK 737504944

    Phone: (572) 200-8805

    Fax: (405) 200-1071

    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: 2019-10-15

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
I20191015000391INurse 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
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus9694$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)6463$0
87502Detection test by nucleic acid for multiple types influenza virus4141$0
87804Detection test by immunoassay with direct visual observation for influenza virus4020$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 73750)

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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: 0840555777View full group profile
NameSpecialtyState
-OK
Physician AssistantOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerTX
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What federal number belongs to MRS. KENDRA KAY GORE (CNP-FAMILY)?
The federal identifier for MRS. KENDRA KAY GORE (CNP-FAMILY) is NPI 1366001398.
Is MRS. KENDRA KAY GORE (CNP-FAMILY)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. KENDRA KAY GORE (CNP-FAMILY) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. KENDRA KAY GORE (CNP-FAMILY). Clinical services aligned with this taxonomy classification.
What location shows for MRS. KENDRA KAY GORE (CNP-FAMILY)?
We surface Kingfisher, Oklahoma for MRS. KENDRA KAY GORE (CNP-FAMILY) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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