York Manor Nursing Home – Skilled Nursing Facility, NPI 1720066434

York Manor Nursing Home is a healthcare provider. based in Muskogee, Oklahoma. specializing in Skilled Nursing Facility. The organization holds a License No. NH5112-5112 (OK). The NPI Number for York Manor Nursing Home is 1720066434

Main info

Organization
Name
York Manor Nursing Home
NPI
1720066434
Phone
(918) 682-6724
Address
500 S YORK ST
Authorized Official
KATHY SUZETTE BAUCOM TREASURER
Enumeration Date
3 January 2006
Last Update Date
16 February 2026

Contacts

Secure Messaging
suzie.ezell.42@heartway.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness100
Years active:20State licenses:17/7 NPPES fields on file

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Provider Addresses for York Manor Nursing Home

  • South York Street, Muskogee, Muskogee County, Oklahoma, 74403, United States

    MUSKOGEE, OK 744035956

    Phone: (918) 682-6724

    Fax: (918) 682-8090

    Mailing address matches the actual address.

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: 2019-05-30

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
O20190530000277OSkilled Nursing FacilityOKTBD

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 74403)

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Reviews

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Frequently asked questions

What NPI should I save for York Manor Nursing Home?
Save NPI 1720066434 if you need a stable reference for York Manor Nursing Home.
Is York Manor Nursing Home active in the national directory?
York Manor Nursing Home's public NPI profile is in an active state.
Does York Manor Nursing Home list a primary specialty?
If you are matching referrals, note Skilled Nursing Facility for York Manor Nursing Home. Clinical services aligned with this taxonomy classification.
What location shows for York Manor Nursing Home?
We surface Muskogee, Oklahoma for York Manor Nursing Home based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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