NANCY ELLEN DENTON APRN-CNP
NPI 1013603232
Nurse Practitioner - Family in Tahlequah, OK

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
401 E DOWNING ST, TAHLEQUAH, OK 74464(918) 316-6369 Get Directions Write a Review

NPPES record last updated: April 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nancy Ellen Denton Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY ELLEN DENTON APRN-CNP (NPI 1013603232) is an individual family provider in Tahlequah, Oklahoma, licensed in Oklahoma (212485) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013603232
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY ELLEN DENTONCredential: APRN-CNP
Location Address401 E DOWNING STTahlequah, OK 74464-3015
Mailing Address1101 S Muskogee Ave Unit 621Tahlequah, OK 74465-2824 · (918) 316-6369
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2023
Last NPPES UpdateApril 16, 2023
NPPES CertifiedApril 16, 2023
✔ NPI 1013603232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 212485
401 E DOWNING ST, Tahlequah, OK 74464

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Ellen Denton Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911361175
PECOS Enrollment IDI20230907000707
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Nancy Denton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
401 E DOWNING ST
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
Internal Medicine
4220 N CLASSEN BLVD STE C
Oklahoma City, OK 73118
  • Reassigned Medicare billing, Oklahoma enrollment
  • 33 clinicians in this Medicare group
Medical Specialty
8324 S WALKER AVE
Oklahoma City, OK 73139
  • Reassigned Medicare billing, Oklahoma enrollment
  • 20 clinicians in this Medicare group
Geriatric Medicine
5721 NW 132ND ST
Oklahoma City, OK 73142
  • Reassigned Medicare billing, Oklahoma enrollment
  • 39 clinicians in this Medicare group
Family Medicine
5721 NW 132ND ST
Oklahoma City, OK 73142
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
Geriatric Medicine
5 RESEARCH DR
Shelton, CT 06484
  • Reassigned Medicare billing, Oklahoma enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
401 E DOWNING ST
TAHLEQUAH, OK 74464
Chiropractor
401 E DOWNING ST
TAHLEQUAH, OK 74464
Chiropractor
401 E DOWNING ST
TAHLEQUAH, OK 74464
Chiropractor
401 E DOWNING ST
TAHLEQUAH, OK 74464

Frequently 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 Nancy Denton's NPI number?

The NPI number for Nancy Denton is 1013603232. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Nancy Denton located?

Nancy Denton practices at 401 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 316-6369.

What is Nancy Denton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nancy Denton enrolled in Medicare?

Yes. Nancy Denton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nancy Denton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Denton reassigns Medicare benefits to 6 organizations: 401 Medical Center PLLC (Tahlequah, OK), Allied Wound Care Specialist PLLC (Oklahoma City, OK), Allied Woundcare Center LLC (Oklahoma City, OK), Long Term Care Specialists, Inc (Oklahoma City, OK), Royal Charter Medical LLC (Oklahoma City, OK) and 1 more organization, listed in the Medicare section above. Each 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 Nancy Denton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Denton 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 2 other insurers list Nancy Denton 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.

Is Nancy Denton affiliated with any hospitals?

According to CMS data, Nancy Denton is affiliated with Northeastern Health System.

When was this NPI record last updated?

The NPPES record for Nancy Denton was last updated on April 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.