JESSI RUNYAN (APRN) – Family Nurse Practitioner, NPI 1538705181
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESSI RUNYAN (APRN)
50365 E COUNTY ROAD 1580
STRATFORD, OK 748726769
Phone: (580) 504-6704
Type: Mailing
1432 W BROADWAY AVE
STE B
SULPHUR, OK 730864216
Phone: (580) 622-4066
Fax: (949) 798-7827
Type: Location
2801 PARKLAWN DR STE 302
MIDWEST CITY, OK 731104230
Phone: (580) 710-6644
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,167.
Total Amount is formed as General ($1,167) + Research ($0) + Ownership ($0) = $1,167.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: ConvaTec Inc. ($1,149).
Total Amount
$1,167
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $1,149 |
| Organogenesis Inc. | $18 |
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: 2023-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200914002569 | I | Nurse Practitioner | OK | TBD |
| I20230817000541 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| Q4194 | Novachor, per square centimeter | 605 | 19 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 454 | 60 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 291 | 49 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 241 | 37 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 74872)
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