DONA LYNN PETTY LCSW
NPI 1114136322
Social Worker - Clinical in Moore, OK
About Dona Lynn Petty Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONA LYNN PETTY LCSW (NPI 1114136322) is an individual clinical provider in Moore, Oklahoma, licensed in Oklahoma (2547) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
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
Dona Lynn Petty Lcsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dona Petty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Coral Gables, FL 33134
- Reassigned Medicare billing, Arizona, Oklahoma and Utah enrollments
- 27 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dona Petty's NPI number?
The NPI number for Dona Petty is 1114136322. It was assigned to this individual provider in the NPPES registry on May 22, 2007.
Where is Dona Petty located?
Dona Petty practices at 1401 SW 34th St, Moore, OK 73160. The listed phone number is (405) 793-1188.
What is Dona Petty's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Dona Petty enrolled in Medicare?
Yes. Dona Petty 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 Dona Petty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dona Petty reassigns Medicare benefits to 2 organizations: Integris Ambulatory Care Corporation (Oklahoma City, OK) and Sailor Health Medical PA (Coral Gables, FL). 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 Dona Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dona Petty was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dona Lynn Petty, LCSW · NPI 1114136322
Clinical provider in Moore, Oklahoma. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1114136322 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2547 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 SW 34TH ST, Moore, OK 73160-3059
- **Phone:** (405) 793-1188 · **Fax:** (405) 793-0492
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK); Sailor Health Medical PA (NPI 1841012960, Coral Gables, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114136322) · Data from the CMS NPPES public registry.