LUCINDA LYNN SPARKS (CNM) – Nurse Practitioner, NPI 1891071924

LUCINDA LYNN SPARKS (CNM) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Nurse Practitioner. They hold the professional credentials CNM. They hold a License No. 95371 (OK). The NPI Number for LUCINDA LYNN SPARKS (CNM) is 1891071924

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
LUCINDA LYNN SPARKS (CNM)
NPI
1891071924
Phone
(918) 458-3100
Address
100 S BLISS AVE
Enumeration Date
3 November 2011
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185677000
Graduation Year
2011 (15 years ago)
PAC ID
6800040163
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20130214000189
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for LUCINDA LYNN SPARKS (CNM)

  • 100 S BLISS AVE

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3100

    Fax: (918) 458-3187

    Type: Mailing

  • 1426 E BRADFORD PKWY

    SPRINGFIELD, MO 658046884

    Phone: (417) 605-2153

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-07-06 • Largest payer in this snapshot: Becton, Dickinson and Company ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-06

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: 2013-02-14

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
I20130214000189ICertified Nurse Midwife (Cnm)TXTBD

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 74464)

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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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK

Reviews

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Frequently asked questions

What is the registry number for LUCINDA LYNN SPARKS (CNM)?
The registry entry for LUCINDA LYNN SPARKS (CNM) shows NPI 1891071924.
Is LUCINDA LYNN SPARKS (CNM) currently accepting referrals based on NPI status?
Registry metadata lists LUCINDA LYNN SPARKS (CNM) as active.
Which specialty label fits LUCINDA LYNN SPARKS (CNM)?
NPPES ties LUCINDA LYNN SPARKS (CNM) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LUCINDA LYNN SPARKS (CNM)?
LUCINDA LYNN SPARKS (CNM) is associated with Tahlequah, Oklahoma in the same public data insurers reference.
Who maintains LUCINDA LYNN SPARKS (CNM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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