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AMELIA DONN WYATT
NPI 1083336879
Case Manager/Care Coordinator in Pryor, OK

Active since September 19, 2022PECOS Enrolled
109 N FAIRLAND ST, PRYOR, OK 74361(918) 934-6845 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2022, Sep 19, 2022 (2 updates tracked since 2022).

About Amelia Donn Wyatt NPPES

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

AMELIA DONN WYATT (NPI 1083336879) is an individual case manager/care coordinator provider in Pryor, Oklahoma and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083336879
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameAMELIA DONN WYATT
Location Address109 N FAIRLAND STPryor, OK 74361-4205
Mailing Address405 E Excelsior AveVinita, OK 74301-4226
Phone(918) 934-6845
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2022
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1083336879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
109 N FAIRLAND ST, Pryor, OK 74361
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Other Names 1

Former Name (1)Amelia Donn Wadley

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Donn Wyatt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204393770
PECOS Enrollment IDI20260805002356
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 Reassignment

Medicare enrollment records show Amelia Wyatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
109 N FAIRLAND ST
Pryor, OK 74361
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1871500900 (918) 825-1405

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

Other Providers at the Same Location NPPES 20

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

KALI ROSE KERNS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
JACKIE ELAINE HORTON
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
WHITNEY JOANNA PHILLIPS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
BREANNA NICOLE COOK MHR, LPC-C
Counselor (Mental Health)
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1401
NICOLE BURNHAM LPN
Licensed Practical Nurse
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
STEPHANIE RENEE STACY
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841
CRYSTAL MICHELLE CUMMINS
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
KANDICE BRIANS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841

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 Amelia Wyatt's NPI number?

The NPI number for Amelia Wyatt is 1083336879. It was assigned to this individual provider in the NPPES registry on September 19, 2022. The provider is also known as Amelia Donn Wadley.

Where is Amelia Wyatt located?

Amelia Wyatt practices at 109 N Fairland St, Pryor, OK 74361. The listed phone number is (918) 934-6845.

What is Amelia Wyatt's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Amelia Wyatt enrolled in Medicare?

Yes. Amelia Wyatt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amelia Wyatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amelia Wyatt reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Pryor, OK). The 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 Amelia Wyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amelia Wyatt accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Amelia Wyatt 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 Amelia Wyatt was last updated on November 10, 2022. 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.