MARCUS SHANE WAHL (APRN) – Registered Nurse, NPI 1508408311

MARCUS SHANE WAHL (APRN) is a healthcare provider. based in Ada, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 58478 (OK). The NPI Number for MARCUS SHANE WAHL (APRN) is 1508408311

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MARCUS SHANE WAHL (APRN)
NPI
1508408311
Phone
(580) 310-9899
Address
1000 Rolling Hills Ln
Enumeration Date
14 October 2019
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803109899
Graduation Year
2019 (7 years ago)
PAC ID
2668893645
Group Practice PAC ID
1658637814
Professional Enrollment ID
I20200529000445
Address ID
OK748202279AD709XXPLZX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MARCUS SHANE WAHL (APRN)

  • 1000 Rolling Hills Ln

    Ada, OK 748209415

    Phone: (580) 310-9899

    Type: Location

  • 2222 W Iowa Ave

    Chickasha, OK 730182738

    Phone: (405) 224-8111

    Fax: (405) 825-4530

    Type: Location

  • 121MORNINGSIDE DR.

    NOBLE, OK 73068

    Phone: (405) 420-2522

    Type: Mailing

  • 2222 W IOWA AVE

    CHICKASHA, OK 730182738

    Phone: (405) 224-8111

    Fax: (405) 825-4530

    Type: Mailing

  • 1007 N COUNTRY CLUB RD

    ADA, OK 748202847

    Phone: (580) 421-8700

    Fax: (580) 272-1094

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-29

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
I20200529000445INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,687336$0
99214Established patient office or other outpatient visit, 30-39 minutes189133$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6261$0
36415Insertion of needle into vein for collection of blood sample6257$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes5959$0
View full utilization report →

Insurance plans in this area (ZIP 74820)

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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: 1658637814View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Where can patients find MARCUS SHANE WAHL (APRN)'s NPI?
You can confirm MARCUS SHANE WAHL (APRN) with NPI 1508408311; it appears in the national provider directory.
Is MARCUS SHANE WAHL (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MARCUS SHANE WAHL (APRN) treat or focus on?
Patients typically see MARCUS SHANE WAHL (APRN) under the specialty Registered Nurse. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARCUS SHANE WAHL (APRN)?
The page summarizes Ada, Oklahoma for MARCUS SHANE WAHL (APRN); expand the address list for detail.
Is MARCUS SHANE WAHL (APRN) a real provider?
This page reflects official NPPES data for NPI 1508408311. Always confirm identity and privileges with the practice and licensing boards.

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