SAVANNAH CHANTAE DOUGHTY APRN
NPI 1114573250
Nurse Practitioner - Family in Mcalester, OK

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
1201 E WADE WATTS AVE, MCALESTER, OK 74501(918) 794-6008 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2021, Aug 14, 2019 (2 updates tracked since 2019).

About Savannah Chantae Doughty Aprn NPPES

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

SAVANNAH CHANTAE DOUGHTY APRN (NPI 1114573250) is an individual family provider in Mcalester, Oklahoma, licensed in Oklahoma (101472) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Mcalester Regional Health Center, and maintains a secondary practice location in Mcalester.

NPPES Registry Identity

NPI1114573250
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAVANNAH CHANTAE DOUGHTYCredential: APRN
Location Address1201 E WADE WATTS AVEMcalester, OK 74501-5655
Mailing Address1201 E Wade Watts AveMcalester, OK 74501-5655 · (918) 794-6008
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 14, 2019
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
NPI 1114573250 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 · 101472
1201 E WADE WATTS AVE, Mcalester, OK 74501

Other Names 1

Former Name (1)Savannah Chantae Gammon

Secondary Practice Location 1

Location 1320 E Carl Albert Pkwy Ste D1McAlester, OK 74501-5065 · Phone (918) 423-7084

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Savannah Chantae Doughty Aprn 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 ID9234461997
PECOS Enrollment IDI20191029003313
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.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,033 services152 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Mcalester Regional Health Center

Acute Care Hospitals · Mcalester, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370034
Location1 Clark Bass BoulevardMcalester, OK 74501 · Pittsburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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.

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 Savannah Doughty's NPI number?

The NPI number for Savannah Doughty is 1114573250. It was assigned to this individual provider in the NPPES registry on August 14, 2019. The provider is also known as Savannah Chantae Gammon.

Where is Savannah Doughty located?

Savannah Doughty practices at 1201 E Wade Watts Ave, Mcalester, OK 74501. The listed phone number is (918) 794-6008.

What is Savannah Doughty's specialty?

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

Is Savannah Doughty enrolled in Medicare?

Yes. Savannah Doughty 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.

What insurance does Savannah Doughty accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Savannah Doughty 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 Savannah Doughty affiliated with any hospitals?

According to CMS data, Savannah Doughty is affiliated with Mcalester Regional Health Center.

When was this NPI record last updated?

The NPPES record for Savannah Doughty was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.