STEPHENIE RENEE INGRAM (CNP-FAMILY) – Nurse Practitioner, NPI 1407129372

STEPHENIE RENEE INGRAM (CNP-FAMILY) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP-FAMILY. They hold a License No. 72256 (OK). The NPI Number for STEPHENIE RENEE INGRAM (CNP-FAMILY) is 1407129372

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
STEPHENIE RENEE INGRAM (CNP-FAMILY)
NPI
1407129372
Phone
(918) 488-6001
Address
6600 S YALE AVE
Enumeration Date
22 February 2012
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184659612
Graduation Year
2011 (15 years ago)
PAC ID
1254594104
Professional Enrollment ID
I20120514000185
Address ID
OK745784046WI210XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for STEPHENIE RENEE INGRAM (CNP-FAMILY)

  • 6600 S YALE AVE

    SUITE 1400

    TULSA, OK 741363347

    Phone: (918) 488-6001

    Fax: (918) 488-6010

    Type: Mailing

  • 1401 E VAN BUREN AVE

    MCALESTER, OK 745014245

    Phone: (918) 426-0240

    Fax: (918) 423-4051

    Type: Location

  • 210 W MAIN ST

    WILBURTON, OK 745784046

    Phone: (918) 465-9612

    Fax: (918) 465-9613

    Type: Mailing

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: 2023-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($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

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$14
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: 2012-05-14

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
I20120514000185INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes270101$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13319$0
36415Insertion of needle into vein for collection of blood sample10073$0
99213Established patient office or other outpatient visit, 20-29 minutes8848$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a3713$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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Reviews

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Frequently asked questions

How do I look up STEPHENIE RENEE INGRAM (CNP-FAMILY) by NPI?
Use NPI 1407129372 when you need to reference STEPHENIE RENEE INGRAM (CNP-FAMILY) in forms, claims, or directories.
Is STEPHENIE RENEE INGRAM (CNP-FAMILY)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEPHENIE RENEE INGRAM (CNP-FAMILY)?
The page reflects Nurse Practitioner for STEPHENIE RENEE INGRAM (CNP-FAMILY). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHENIE RENEE INGRAM (CNP-FAMILY)?
The snapshot lists Tulsa, Oklahoma for STEPHENIE RENEE INGRAM (CNP-FAMILY); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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