NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
NPI 1114283025
Family Medicine in Broken Arrow, OK
About Northeast Oklahoma Physician Network Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC (NPI 1114283025) is a healthcare organization registered as a family medicine in Broken Arrow, Oklahoma and active in the NPI registry since April 2012. The organization holds 2 active CLIA laboratory certificates and lists Richard Ferguson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
Northeast Oklahoma Physician Network Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Northeast Oklahoma Physician Network Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 2
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 37D2043184
Northeast Oklahoma Physician Network · Broken Arrow, OKCertificate of Waiver 37D2043204
Northeast Oklahoma Physician Network · Tulsa, 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 Northeast Oklahoma Physician Network Inc's NPI number?
The NPI number for Northeast Oklahoma Physician Network Inc is 1114283025. It was assigned to this organization in the NPPES registry on April 4, 2012.
Where is Northeast Oklahoma Physician Network Inc located?
Northeast Oklahoma Physician Network Inc is located at 1130 E Lansing St, Broken Arrow, OK 74012. The listed phone number is (918) 258-9990.
What is Northeast Oklahoma Physician Network Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Northeast Oklahoma Physician Network Inc enrolled in Medicare?
Yes. Northeast Oklahoma Physician Network Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Oklahoma Physician Network Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Northeast Oklahoma Physician Network Inc. 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 (8) and Family Practice (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northeast Oklahoma Physician Network Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Northeast Oklahoma Physician Network Inc accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Northeast Oklahoma Physician Network Inc 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 Northeast Oklahoma Physician Network Inc was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Northeast Oklahoma Physician Network Inc · NPI 1114283025
Family Medicine organization in Broken Arrow, Oklahoma. Organization record, active in the CMS NPPES registry since April 4, 2012.
## Identity
- **NPI:** 1114283025 (Entity type: Organization)
- **Enumerated:** April 4, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Richard Ferguson, CEO
## Practice location
- **Address:** 1130 E LANSING ST, Broken Arrow, OK 74012-2429
- **Phone:** (918) 258-9990 · **Fax:** (918) 994-4277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (3); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2012
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114283025) · Data from the CMS NPPES public registry.