KHANH MAI DUPONT – Family Nurse Practitioner, NPI 1477164572

KHANH MAI DUPONT is a healthcare provider. based in El reno, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. F08200061 (OK). The NPI Number for KHANH MAI DUPONT is 1477164572

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KHANH MAI DUPONT
NPI
1477164572
Phone
(405) 295-2900
Address
1900 S COUNTRY CLUB RD
Enumeration Date
12 August 2020
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052952900113
Graduation Year
2020 (6 years ago)
PAC ID
8123434875
Group Practice PAC ID
4688848369
Professional Enrollment ID
I20210304001533
Address ID
OK730365427EL1900XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KHANH MAI DUPONT

  • 1900 S COUNTRY CLUB RD

    EL RENO, OK 730365427

    Phone: (405) 295-2900

    Type: Location

  • 2518 W Park Pl

    Oklahoma City, OK 731075432

    Phone: (405) 410-7281

    Type: Location

  • 1315 N WASHINGTON ST

    WEATHERFORD, OK 730962443

    Phone: (580) 772-2344

    Type: Location

  • 2518 W PARK PL

    OKLAHOMA CITY, OK 731075432

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $374.

Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$374

General + Research + Ownership

Payments

22

Total payment records

General Amount

$374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2021-03-04

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
I20210304001533INurse 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
J1100Injection, dexamethasone sodium phosphate, 1 mg17016$0
99214Established patient office or other outpatient visit, 30-39 minutes13988$0
99213Established patient office or other outpatient visit, 20-29 minutes11882$0
36415Insertion of needle into vein for collection of blood sample6941$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6816$0
View full utilization report →

Insurance plans in this area (ZIP 73036)

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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: 4688848369View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do I look up KHANH MAI DUPONT by NPI?
Use NPI 1477164572 when you need to reference KHANH MAI DUPONT in forms, claims, or directories.
Is KHANH MAI DUPONT active in the national directory?
KHANH MAI DUPONT's public NPI profile is in an active state.
What field does KHANH MAI DUPONT work in?
You can think of KHANH MAI DUPONT as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KHANH MAI DUPONT?
The snapshot lists El Reno, Oklahoma for KHANH MAI DUPONT; 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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