MR. LEE MATLOCK (APRN) – Family Nurse Practitioner, NPI 1467990820

MR. LEE MATLOCK (APRN) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 109425 (OK). The NPI Number for MR. LEE MATLOCK (APRN) is 1467990820

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEE MATLOCK (APRN)
NPI
1467990820
Phone
Not provided
Address
4256 E 25TH PL
Enumeration Date
6 February 2017
Last Update Date
18 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184886000
Graduation Year
2017 (9 years ago)
PAC ID
2769755321
Group Practice PAC ID
8820900293
Professional Enrollment ID
I20170901000125
Address ID
OK741363331TU6600XAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MR. LEE MATLOCK (APRN)

  • 4256, East 25th Place, Mayo Meadow, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741144814

    Phone:

    Type: Mailing

  • 6600 S YALE AVE STE 1200

    TULSA, OK 741363361

    Phone: (918) 488-6653

    Fax: (918) 488-6098

    Type: Mailing

  • 6160 S YALE AVE

    TULSA, OK 741361930

    Phone: (918) 495-2685

    Fax: (918) 495-2660

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 423 Open Payments records for all available years, with a total value of $8,224.

Total Amount is formed as General ($8,224) + Research ($0) + Ownership ($0) = $8,224.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,771).

Total Amount

$8,224

General + Research + Ownership

Payments

423

Total payment records

General Amount

$8,224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2017-09-01

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
I20170901000125INurse 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 minutes482345$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21135$0
99213Established patient office or other outpatient visit, 20-29 minutes7169$0
96372Injection of drug or substance under skin or into muscle3226$0
J1040Injection, methylprednisolone acetate, 80 mg2825$0
View full utilization report →

Insurance plans in this area (ZIP 74114)

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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: 8820900293View full group profile

Reviews

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Frequently asked questions

Is MR. LEE MATLOCK (APRN) listed with a National Provider Identifier?
Yes — MR. LEE MATLOCK (APRN) has NPI 1467990820 on file in the registry.
Is there an active status for MR. LEE MATLOCK (APRN)?
For scheduling context, MR. LEE MATLOCK (APRN) is shown as active in the registry.
What kind of doctor is MR. LEE MATLOCK (APRN)?
MR. LEE MATLOCK (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MR. LEE MATLOCK (APRN) located near Tulsa?
MR. LEE MATLOCK (APRN) currently maps to Tulsa, Oklahoma in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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