KELLY STEPHENS (PMHNP-BC) – Adult Health Nurse Practitioner, NPI 1588113831

KELLY STEPHENS (PMHNP-BC) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. R0060065 (OK). The NPI Number for KELLY STEPHENS (PMHNP-BC) is 1588113831

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLY STEPHENS (PMHNP-BC)
NPI
1588113831
Phone
(918) 290-1935
Address
217 N Water Ave
Enumeration Date
28 September 2016
Last Update Date
6 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802235636
Graduation Year
2005 (21 years ago)
PAC ID
4981989993
Group Practice PAC ID
6406748961
Professional Enrollment ID
I20170314000068
Address ID
OK734015519AR2530XSTXX401
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

Provider Addresses for KELLY STEPHENS (PMHNP-BC)

  • 217 N Water Ave

    Tahlequah, OK 744642825

    Phone: (918) 290-1935

    Type: Location

  • Creoks Mental Health, 4636, South Harvard Avenue, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352908

    Phone:

    Type: Mailing

  • 7302, South Yale Avenue, Silver Oaks, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 741367027

    Phone: (918) 382-7300

    Fax: (855) 855-4102

    Type: Location

  • PO BOX 521147

    TULSA, OK 741521147

    Phone: (918) 608-0380

    Type: Mailing

  • 1402 N FLORENCE AVE STE B

    CLAREMORE, OK 740173159

    Phone: (918) 608-0380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($36).

Total Amount

$131

General + Research + Ownership

Payments

7

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2017-03-14

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
I20170314000068INurse 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 minutes8123$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 6406748961View full group profile
NameSpecialtyState
Addiction Medicine, PsychiatryOK
Mental Health CounselorOK
Family Practice, PsychiatryOK
Mental Health CounselorOK
Clinical Social WorkerOK
Mental Health CounselorOK
Marriage And Family TherapistOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Is there an official ID for KELLY STEPHENS (PMHNP-BC) in U.S. healthcare records?
The official identifier for KELLY STEPHENS (PMHNP-BC) is NPI 1588113831.
Is KELLY STEPHENS (PMHNP-BC) shown as active in public data?
Registry records indicate KELLY STEPHENS (PMHNP-BC) maintains an active NPI.
What area of care is associated with KELLY STEPHENS (PMHNP-BC)?
KELLY STEPHENS (PMHNP-BC)'s record emphasizes Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLY STEPHENS (PMHNP-BC) associated with Tahlequah?
Public fields place KELLY STEPHENS (PMHNP-BC) around Tahlequah, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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