MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) – Clinical Nurse Specialist, NPI 1770729907

MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials RN ADVANCE PRACTICE. They hold a License No. 64359 (OK). The NPI Number for MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) is 1770729907

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE)
NPI
1770729907
Phone
(405) 271-7498
Address
940 NE 13TH ST STE 3000
Enumeration Date
17 December 2008
Last Update Date
4 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059051039
Graduation Year
2008 (18 years ago)
PAC ID
4688706435
Group Practice PAC ID
7517329089
Professional Enrollment ID
I20100714001027
Address ID
OK73013XXXXEDXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

123 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OK

Provider Addresses for MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE)

  • 940 NE 13TH ST STE 3000

    OKLAHOMA CITY, OK 731045008

    Phone: (405) 271-7498

    Fax: (405) 271-4329

    Type: Mailing

  • 940 N.E. 13TH STREET

    SUITE 3000

    OKLAHOMA CITY, OK 731045008

    Phone: (405) 271-7498

    Fax: (405) 271-4328

    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: 2010-07-14

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
I20100714001027ICertified Clinical Nurse Specialist (Cns)OKTBD

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 73104)

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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: 7517329089View full group profile
NameSpecialtyState
Family PracticeOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE)?
For MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE), use NPI 1770729907 as the unique 10-digit identifier.
Would MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) appear as active to a payer?
You can treat MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE)?
MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) is associated with Clinical Nurse Specialist in the directory — Clinical services aligned with this taxonomy classification.
Where in Oklahoma is MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) registered?
Use Oklahoma City, Oklahoma as the headline location for MRS. MANIMEHALAI VIJAYAN (RN ADVANCE PRACTICE) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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