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KETTI LYNN EDDY APRN-CNP
NPI 1194723239
Nurse Practitioner - Family in Guthrie, OK

Active since July 12, 2005PECOS Enrolled
105 E INDUSTRIAL RD STE B, GUTHRIE, OK 73044(405) 919-7570(405) 256-9748 Get Directions Write a Review

NPPES record last updated: September 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2021, Sep 3, 2020 (2 updates tracked since 2020).

About Ketti Lynn Eddy Aprn-cnp NPPES

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

KETTI LYNN EDDY APRN-CNP (NPI 1194723239) is an individual family provider in Guthrie, Oklahoma, licensed in Oklahoma (R0074528) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194723239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETTI LYNN EDDYCredential: APRN-CNP
Location Address105 E INDUSTRIAL RD STE BGuthrie, OK 73044-6971
Mailing Address1603 Hunters PathEdmond, OK 73034-1627 · (405) 919-7570 · Fax (405) 256-9748
Phone(405) 919-7570
Fax(405) 256-9748
Sole ProprietorYes
Enumeration DateJuly 12, 2005
Last NPPES UpdateSeptember 25, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2021
✔ NPI 1194723239 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 · R0074528
105 E INDUSTRIAL RD STE B, Guthrie, OK 73044
Open in Google Maps ↗

Other Identifiers 1

Medicaid200057880AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketti Lynn Eddy Aprn-cnp 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 Ketti Eddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fusion MD PLLC
28 mi
Clinic/Center
5472 MAIN ST, SUITE 101
Del City, OK 73115
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
NPI 1770936452 (405) 607-5920

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 73044 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY ANDERSON CAROTHERS
Pharmacist
105 E INDUSTRIAL RD STE B
GUTHRIE, OK 73044
Logan County (405) 282-0661

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 Ketti Eddy's NPI number?

The NPI number for Ketti Eddy is 1194723239. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Ketti Eddy located?

Ketti Eddy practices at 105 E Industrial Rd Ste B, Guthrie, OK 73044. The listed phone number is (405) 919-7570.

What is Ketti Eddy's specialty?

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

Is Ketti Eddy enrolled in Medicare?

Yes. Ketti Eddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ketti Eddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketti Eddy reassigns Medicare benefits to Fusion MD PLLC (Del 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 Ketti Eddy'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 Ketti Eddy was last updated on September 25, 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.