BETHANY DIANNA BROWN (CNP) – Family Nurse Practitioner, NPI 1366848798
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for BETHANY DIANNA BROWN (CNP)
5201 W Memorial Rd
Oklahoma City, OK 731422004
Phone: (405) 755-4050
Type: Location
836 GARTH BROOKS BLVD STE 215
YUKON, OK 730993890
Phone: (405) 494-3370
Fax: (405) 494-3371
Type: Location
1520 S BRYANT AVE
EDMOND, OK 730136028
Phone:
Type: Mailing
206 N Mustang Mall Ter
Mustang, OK 730645135
Phone: (405) 353-3150
Fax: (405) 353-3186
Type: Location
4345 W MEMORIAL RD
OKLAHOMA CITY, OK 731341702
Phone: (405) 494-3370
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($117).
Total Amount
$324
General + Research + Ownership
Payments
13
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $117 |
| Novo Nordisk Inc | $49 |
| Vanda Pharmaceuticals Inc. | $35 |
| AstraZeneca Pharmaceuticals LP | $33 |
| Lilly USA, LLC | $28 |
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: 2015-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150112000458 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 37 | 35 | $0 |
| G0008 | Administration of influenza virus vaccine | 35 | 35 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 34 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 73142)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OK | 90670 | Pneumococcal vaccine for injection into muscle | 29 | 29 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Internal Medicine | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| Family Practice | OK |
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