MR. WILLIAM KING WYATT (APRN) – Nurse Practitioner, NPI 1407542293

MR. WILLIAM KING WYATT (APRN) is a healthcare provider. based in Collinsville, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 78990 (OK). The NPI Number for MR. WILLIAM KING WYATT (APRN) is 1407542293

Main info

Male
4 Years Of Experience
Name
MR. WILLIAM KING WYATT (APRN)
NPI
1407542293
Phone
(918) 640-4803
Address
14311 E 126TH ST N
Enumeration Date
13 April 2023
Last Update Date
7 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807725551
Graduation Year
2022 (4 years ago)
PAC ID
7214393123
Group Practice PAC ID
2062638661
Professional Enrollment ID
I20230519000108
Address ID
OK730963309WE3701XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:3State licenses:3Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MR. WILLIAM KING WYATT (APRN)

  • 14311 E 126TH ST N

    COLLINSVILLE, OK 740214130

    Phone: (918) 640-4803

    Mailing address matches the actual address.

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 $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2023-05-19

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
I20230519000108INurse 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
99285Emergency department visit with high level of medical decision making3332$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2625$0
99284Emergency department visit with moderate level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 74021)

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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: 2062638661View full group profile
NameSpecialtyState
Emergency MedicineOK
Nurse PractitionerOK
Emergency MedicineOK
Physician AssistantCA
Emergency MedicineOK
Emergency Medicine, Family PracticeOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. WILLIAM KING WYATT (APRN)?
MR. WILLIAM KING WYATT (APRN) — NPI 1407542293 — is the standard way to identify this listing.
Does the file indicate MR. WILLIAM KING WYATT (APRN) is practicing under active NPI?
Directory data currently reports MR. WILLIAM KING WYATT (APRN) as active.
What taxonomy line describes MR. WILLIAM KING WYATT (APRN)?
For research purposes, treat MR. WILLIAM KING WYATT (APRN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. WILLIAM KING WYATT (APRN) list a practice location?
Patients near Collinsville, Oklahoma may find MR. WILLIAM KING WYATT (APRN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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