KIMBERLY MCCOY (APRN) – Family Nurse Practitioner, NPI 1629773155

KIMBERLY MCCOY (APRN) is a healthcare provider. based in Edmond, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 212267 (OK). The NPI Number for KIMBERLY MCCOY (APRN) is 1629773155

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MCCOY (APRN)
NPI
1629773155
Phone
(405) 359-1122
Address
3801 NW 166TH ST STE 4
Enumeration Date
3 April 2023
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053591122
Graduation Year
2021 (5 years ago)
PAC ID
7810354362
Group Practice PAC ID
6709007099
Professional Enrollment ID
I20230530000013
Address ID
OK730129279ED3801XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KIMBERLY MCCOY (APRN)

  • 3801 NW 166TH ST STE 4

    EDMOND, OK 730129279

    Phone: (405) 359-1122

    Fax: (405) 359-1100

    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 13 Open Payments records for all available years, with a total value of $472.

Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($139).

Total Amount

$472

General + Research + Ownership

Payments

13

Total payment records

General Amount

$472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2023-05-30

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
I20230530000013INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73012)

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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: 6709007099View full group profile
NameSpecialtyState
Nurse PractitionerOK
-OK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Does KIMBERLY MCCOY (APRN) have a public NPI I can cite?
Public records show KIMBERLY MCCOY (APRN) under NPI 1629773155.
Is KIMBERLY MCCOY (APRN) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLY MCCOY (APRN) as active.
What services align with KIMBERLY MCCOY (APRN)'s listing?
KIMBERLY MCCOY (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KIMBERLY MCCOY (APRN) in Edmond, Oklahoma?
For routing, start with Edmond, Oklahoma for KIMBERLY MCCOY (APRN), then verify phone and hours locally.
Who maintains KIMBERLY MCCOY (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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