DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
NPI 1003227414
Clinic/Center - Primary Care in Edmond, OK
About Deer Creek Family Healthcare And Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC (NPI 1003227414) is a healthcare organization registered as a primary care in Edmond, Oklahoma and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through February 9, 2027, maintains a secondary practice location in Cashion, and lists Kim Knox, Nurse Practitioner / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deer Creek Family Healthcare And Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Deer Creek Family Healthcare And Wellness Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2091257
Deer Creek Family Healthcare And Wellness Clinic · Edmond, OKFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deer Creek Family Healthcare And Wellness Clinic LLC's NPI number?
The NPI number for Deer Creek Family Healthcare And Wellness Clinic LLC is 1003227414. It was assigned to this organization in the NPPES registry on May 20, 2014.
Where is Deer Creek Family Healthcare And Wellness Clinic LLC located?
Deer Creek Family Healthcare And Wellness Clinic LLC is located at 3801 NW 166th St Ste 4, Edmond, OK 73012. The listed phone number is (405) 359-1122.
What is Deer Creek Family Healthcare And Wellness Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Deer Creek Family Healthcare And Wellness Clinic LLC enrolled in Medicare?
Yes. Deer Creek Family Healthcare And Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deer Creek Family Healthcare And Wellness Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Deer Creek Family Healthcare And Wellness Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Pulmonary Disease (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deer Creek Family Healthcare And Wellness Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2091257) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Deer Creek Family Healthcare And Wellness Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Deer Creek Family Healthcare And Wellness Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Deer Creek Family Healthcare And Wellness Clinic LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Deer Creek Family Healthcare And Wellness Clinic Llc · NPI 1003227414
Primary Care organization in Edmond, Oklahoma. Organization record, active in the CMS NPPES registry since May 20, 2014.
## Identity
- **NPI:** 1003227414 (Entity type: Organization)
- **Enumerated:** May 20, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kim Knox, NURSE PRACTITIONER / OWNER
## Practice location
- **Address:** 3801 NW 166TH ST STE 4, Edmond, OK 73012-9279
- **Phone:** (405) 359-1122 · **Fax:** (405) 359-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Pulmonary Disease (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003227414) · Data from the CMS NPPES public registry.