MRS. VICKI RENEE THREADGILL APRN NNP BC
NPI 1194090134
Nurse Practitioner - Neonatal in Oklahoma City, OK

Active since March 08, 2012PECOS Enrolled
1200 CHILDRENS AVE STE 7504, OKLAHOMA CITY, OK 73104(405) 271-5215 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, May 8, 2026, Mar 26, 2026 and 2 more (5 updates tracked since 2016).

About Mrs. Vicki Renee Threadgill Aprn Nnp Bc NPPES

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

MRS. VICKI RENEE THREADGILL APRN NNP BC (NPI 1194090134) is an individual neonatal provider in Oklahoma City, Oklahoma, licensed in Oklahoma (52055) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1194090134
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. VICKI RENEE THREADGILLCredential: APRN NNP BC
Location Address1200 CHILDRENS AVE STE 7504Oklahoma City, OK 73104-4637
Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 949-3393 · Fax (405) 945-5493
Sole ProprietorNo
Enumeration DateMarch 8, 2012
Last NPPES UpdateAugust 5, 20265 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1194090134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses✔ Licensed in OK · 52055✔ Licensed in CO · C-APN.0106198-C-NP✔ Licensed in TX · 1217913
1200 CHILDRENS AVE STE 7504, Oklahoma City, OK 73104

Other Names 1

Former Name (1)Vicki Renee Montgomery Aprn Nnp Bc

Secondary Practice Location 1

Location 1100 N Lindsay AveOklahoma City, OK 73190-0001 · Phone (405) 271-5215

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Vicki Renee Threadgill Aprn Nnp Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Vicki Threadgill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 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 73104 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 Vicki Threadgill's NPI number?

The NPI number for Vicki Threadgill is 1194090134. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as Vicki Renee Montgomery Aprn Nnp Bc.

Where is Vicki Threadgill located?

Vicki Threadgill practices at 1200 Childrens Ave Ste 7504, Oklahoma City, OK 73104. The listed phone number is (405) 271-5215.

What is Vicki Threadgill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Vicki Threadgill enrolled in Medicare?

Yes. Vicki Threadgill is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vicki Threadgill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Threadgill reassigns Medicare benefits to Ou Health Partners, Inc (Oklahoma City, 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 Vicki Threadgill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vicki Threadgill accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health and Sendero Health Plans, Local Nonprofit list Vicki Threadgill 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 Vicki Threadgill was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.