TRACEY L. SMALL (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780132449
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for TRACEY L. SMALL (APRN, PMHNP-BC)
604 S. WALNUT
STILLWATER, OK 74074
Phone: (405) 372-2202
Fax: (405) 445-3780
Type: Mailing
604 S WALNUT ST
STILLWATER, OK 740744222
Phone: (405) 372-2202
Fax: (405) 445-3780
Type: Location
231 S 30TH ST
ENID, OK 737016455
Phone: (405) 372-2202
Fax: (405) 445-3780
Type: Location
605, West Oxford Avenue, Enid, Garfield County, Oklahoma, 73701, United States
ENID, OK 737011208
Phone: (580) 233-7220
Fax: (580) 237-7550
Type: Mailing
3460 N RIDGE RD STE 120
WICHITA, KS 672051223
Phone: (316) 272-0800
Fax: (316) 272-0600
Type: Mailing
1601 W 16TH ST
WELLINGTON, KS 671528125
Phone: (620) 326-7448
Fax: (620) 326-6662
Type: Location
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 $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: ABBVIE INC. ($82).
Total Amount
$250
General + Research + Ownership
Payments
13
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-06-13
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 |
|---|---|---|---|---|
| I20240613000741 | I | Nurse Practitioner | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KS | |
| - | KS | |
| Marriage And Family Therapist | KS | |
| Mental Health Counselor | KS | |
| Nurse Practitioner | KS | |
| Mental Health Counselor | KS | |
| Clinical Social Worker | KS | |
| Clinical Social Worker | KS | |
| Marriage And Family Therapist | KS | |
| Clinical Social Worker | KS |
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