401 MEDICAL CENTER PLLC
NPI 1063296937
Clinic/Center - Primary Care in Tahlequah, OK
About 401 Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
401 MEDICAL CENTER PLLC (NPI 1063296937), doing business as 401 Medical Center, is a healthcare organization registered as a primary care in Tahlequah, Oklahoma and active in the NPI registry since August 2023. The organization lists Nancy E. Denton, Owner/ Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
401 Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 401 Medical Center PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 401 Medical Center PLLC's NPI number?
The NPI number for 401 Medical Center PLLC is 1063296937. It was assigned to this organization in the NPPES registry on August 22, 2023. The provider was formerly known as 401 Medical Center.
Where is 401 Medical Center PLLC located?
401 Medical Center PLLC is located at 401 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 316-3764.
What is 401 Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is 401 Medical Center PLLC enrolled in Medicare?
Yes. 401 Medical Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 401 Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 401 Medical Center PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does 401 Medical Center PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list 401 Medical Center PLLC 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 401 Medical Center PLLC was last updated on August 24, 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.
# 401 Medical Center Pllc · NPI 1063296937
Primary Care organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since August 22, 2023.
## Identity
- **NPI:** 1063296937 (Entity type: Organization)
- **Enumerated:** August 22, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Nancy Denton, OWNER/ APRN
## Practice location
- **Address:** 401 E DOWNING ST, Tahlequah, OK 74464-3015
- **Phone:** (918) 316-3764 · **Fax:** (918) 398-8982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2023
- **Other identifiers:** Other 1013603232 (OK); Medicaid 201173250A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1063296937) · Data from the CMS NPPES public registry.