Shamrock Family Care Clinic – Rural Health Clinic/Center, NPI 1811652977

Shamrock Family Care Clinic is a healthcare provider. based in Shawnee, Oklahoma. specializing in Rural Health Clinic/Center. The NPI Number for Shamrock Family Care Clinic is 1811652977

Main info

Organization
Name
Shamrock Family Care Clinic
NPI
1811652977
Phone
(405) 878-0202
Address
120 W MACARTHUR ST STE 121
Authorized Official
DONALD A FREEMAN OWNER/PRESIDENT
Enumeration Date
3 November 2021
Last Update Date
12 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Shamrock Family Care Clinic

  • 120 W MACARTHUR ST STE 121

    SHAWNEE, OK 748042005

    Phone: (405) 878-0202

    Type: Mailing

  • 1010 S MAIN ST

    SHAMROCK, TX 790792820

    Phone: (806) 256-5148

    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: 2022-04-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20211213000410OClinic/Group PracticeTXTBD
O20220407000066ORural Health ClinicTXTBD

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 74804)

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Reviews

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Frequently asked questions

How do payers reference Shamrock Family Care Clinic?
For Shamrock Family Care Clinic, use NPI 1811652977 as the unique 10-digit identifier.
Would Shamrock Family Care Clinic appear as active to a payer?
You can treat Shamrock Family Care Clinic as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Shamrock Family Care Clinic's focus?
For Shamrock Family Care Clinic, the primary taxonomy reads as Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Shamrock Family Care Clinic?
Directory geography for Shamrock Family Care Clinic centers on Shawnee, Oklahoma.
When was this NPI issued?
Enumeration for Shamrock Family Care Clinic is noted as November 3, 2021 where the registry provides it.

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