1. Home
  2. Directory
  3. Oklahoma
  4. Crescent
  5. Nurse Practitioner
  6. NPI Profile

LTCNP
NPI 1154030724
Nurse Practitioner - Primary Care in Crescent, OK

Active since November 22, 2022
14355 W CRESCENT DOVER RD, CRESCENT, OK 73028(405) 650-5561(405) 400-2559 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Nov 22, 2022 (2 updates tracked since 2022).

About Ltcnp NPPES

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

LTCNP (NPI 1154030724), doing business as Crescent Community Clinic, is a healthcare organization registered as a primary care in Crescent, Oklahoma and active in the NPI registry since November 2022. The organization lists Shannon Dunn, Owner, as its authorized official.

NPPES Registry Identity

NPI1154030724
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLTCNP
Location Address14355 W CRESCENT DOVER RDCrescent, OK 73028
Mailing Address14355 W Crescent Dover RdCrescent, OK 73028-3311 · Fax (405) 400-2559
Phone(405) 650-5561
Fax(405) 400-2559
Organization SubpartNo
Authorized OfficialShannon DunnOwner · (405) 560-5561
Enumeration DateNovember 22, 2022
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1154030724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
14355 W CRESCENT DOVER RD, Crescent, OK 73028
Open in Google Maps ↗

Other Names 1

Doing Business AsCrescent Community Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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)

Ltcnp 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 Ltcnp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Dunn, DNP, APRN-CNP, FNP-C
Nurse Practitioner
NPI 1972272490
14701 W CRESCENT DOVER RD
Crescent, OK 73028
(405) 650-5561
✔ PECOS✔ Accepts Medicare0.1 mi

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 Ltcnp's NPI number?

The NPI number for Ltcnp is 1154030724. It was assigned to this organization in the NPPES registry on November 22, 2022. The provider is doing business as Crescent Community Clinic.

Where is Ltcnp located?

Ltcnp is located at 14355 W Crescent Dover Rd, Crescent, OK 73028. The listed phone number is (405) 650-5561.

What is Ltcnp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ltcnp enrolled in Medicare?

Yes. Ltcnp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ltcnp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ltcnp. 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 Ltcnp accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Ltcnp 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 Ltcnp was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.