MRS. KENNEDY BROOKE DECKER-WALTERS (APRN-CNP) – Family Nurse Practitioner, NPI 1700014867
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for MRS. KENNEDY BROOKE DECKER-WALTERS (APRN-CNP)
1708 DELIVERY LANE
DURANT, OK 747012292
Phone: (580) 924-5622
Fax: (580) 745-5060
Type: Mailing
1708 DELIVERY LN
DURANT, OK 747012292
Phone: (580) 924-5622
Fax: (580) 745-5060
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $923.
Total Amount is formed as General ($923) + Research ($0) + Ownership ($0) = $923.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($223).
Total Amount
$923
General + Research + Ownership
Payments
53
Total payment records
General Amount
$923
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $223 |
| ABBVIE INC. | $160 |
| AstraZeneca Pharmaceuticals LP | $135 |
| Exact Sciences Corporation | $65 |
| Lilly USA, LLC | $62 |
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: 2010-11-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101123000213 | I | Nurse Practitioner | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 156 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 70 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 117 | 68 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 117 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 62 | $0 |
Insurance plans in this area (ZIP 74701)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OK | 83036 | Hemoglobin A1C level | 19 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Nurse Practitioner | OK | |
| Family Practice, Emergency Medicine | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.