BILLIE RAE ROBERTSON (APRN) – Family Nurse Practitioner, NPI 1861204760

BILLIE RAE ROBERTSON (APRN) is a healthcare provider. based in Wilburton, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 220124 (OK). The NPI Number for BILLIE RAE ROBERTSON (APRN) is 1861204760

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
BILLIE RAE ROBERTSON (APRN)
NPI
1861204760
Phone
Not provided
Address
801 W CEDAR AVE
Enumeration Date
27 January 2025
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186532345
Graduation Year
2024 (2 years ago)
PAC ID
8426573643
Group Practice PAC ID
1153742739
Professional Enrollment ID
I20250421002270
Address ID
OK749372252HE714XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for BILLIE RAE ROBERTSON (APRN)

  • 801 W CEDAR AVE

    WILBURTON, OK 745784815

    Phone:

    Type: Mailing

  • 810 HIGHWAY 2

    WILBURTON, OK 74578

    Phone: (918) 465-0170

    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: 2025-04-21

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
I20250421002270INurse 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 74578)

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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: 1153742739View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

Is BILLIE RAE ROBERTSON (APRN) listed with a National Provider Identifier?
Yes — BILLIE RAE ROBERTSON (APRN) has NPI 1861204760 on file in the registry.
Is there an active status for BILLIE RAE ROBERTSON (APRN)?
For scheduling context, BILLIE RAE ROBERTSON (APRN) is shown as active in the registry.
What area of care is associated with BILLIE RAE ROBERTSON (APRN)?
BILLIE RAE ROBERTSON (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BILLIE RAE ROBERTSON (APRN)?
Travel planning: use Wilburton, Oklahoma as the reference point for BILLIE RAE ROBERTSON (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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