CITIZEN POTAWATOMI NATION
NPI 1194752949
Clinic/Center - Federally Qualified Health Center (FQHC) in Shawnee, OK

Active since June 27, 2006CLIA Certified · 2 labs
2307 S GORDON COOPER DR, SHAWNEE, OK 74801(405) 273-5236(405) 878-4835 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2025, Nov 9, 2016 (2 updates tracked since 2016).

About Citizen Potawatomi Nation NPPES

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

CITIZEN POTAWATOMI NATION (NPI 1194752949), doing business as Citizen Potawatomi Nation Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Shawnee, Oklahoma and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Chris Skillings, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1194752949
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCITIZEN POTAWATOMI NATION
Location Address2307 S GORDON COOPER DRShawnee, OK 74801-9007
Mailing Address2307 S Gordon Cooper DrShawnee, OK 74801-9007 · (405) 273-5236 · Fax (405) 878-4835
Fax(405) 878-4835
Organization SubpartNo
Authorized OfficialChris SkillingsDirector Of Health Services · (405) 273-5236
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1194752949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2307 S GORDON COOPER DR, Shawnee, OK 74801

Other Names 1

Doing Business AsCitizen Potawatomi Nation Clinic

Other Identifiers 1

Medicaid100244300COK

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)

Citizen Potawatomi Nation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Citizen Potawatomi Nation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner15
Family Practice8
Optometry7
General Practice3
Neurology3
Chiropractic2
Diagnostic Radiology2
Marriage and Family Therapist2
10 other specialties11

Nearest to this location (20)

See all 53
General Practice
NPI 1285928234
2307 GORDON COOPER DR
Shawnee, OK 74801
(405) 214-5101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700404415
2307 S GORDON COOPER DR
Shawnee, OK 74801
(405) 273-5236
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1689019341
2307 GORDON COOPER DR
Shawnee, OK 74801
(405) 964-5770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265063960
2307 GORDON COOPER DR
Shawnee, OK 74801
(405) 651-3344
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639105000
2307 S GORDON COOPER DR
Shawnee, OK 74801
(405) 273-5236
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1871571901
2307 S GORDON COOPER DR
Shawnee, OK 74801
(405) 273-5236
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1003489527
2307 GORDON COOPER DR
Shawnee, OK 74801
(405) 273-5236
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1417364738
502 N BROADWAY ST
Tecumseh, OK 74873
(405) 598-7270
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1639573041
781 GRAND CASINO BLVD
Shawnee, OK 74804
(405) 964-5770
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1144765611
2508 N HARRISON ST
Shawnee, OK 74804
(405) 585-2030
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1336612662
2508 N HARRISON ST
Shawnee, OK 74804
(405) 585-2030
✔ PECOS✔ Accepts Medicare4.8 mi
General Practice
NPI 1780789388
1102 W MACARTHUR ST
Shawnee, OK 74804
(405) 273-2270
✔ PECOS✔ Accepts Medicare5.0 mi
Neurology
NPI 1306814777
3200 MEDICAL PARK DR
Shawnee, OK 74804
(405) 878-9490
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1114309317
781 GRAND CASINO BLVD
Shawnee, OK 74804
(405) 964-5770
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1952989659
781 GRAND CASINO BLVD
Shawnee, OK 74804
(405) 964-5770
✔ PECOS✔ Accepts Medicare5.1 mi
Optometry
NPI 1730126905
3315 KETHLEY RD
Shawnee, OK 74804
(405) 273-5801
✔ PECOS✔ Accepts Medicare5.2 mi
Cardiovascular Disease (Cardiology)
NPI 1487600060
3306 N KICKAPOO AVE STE 150
Shawnee, OK 74804
(405) 628-6535
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1932134806
781 GRAND CASINO BLVD
Shawnee, OK 74804
(405) 964-5770
✔ PECOS9.8 mi
Optometry
NPI 1396901187
15951 LITTLE AXE DR
Norman, OK 73026
(405) 447-0300
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1912626771
1624 S POST RD
Midwest City, OK 73130
(405) 795-0602
✔ PECOS✔ Accepts Medicare26 mi
See all 53 clinicians

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 Compliance 37D0705524

Citizen Potawatomi Nation Health Services · Shawnee, OK
Active · expires Jul 20, 2028
CLIA Number37D0705524
Laboratory TypeHealth Fair
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorCarrie Wood
Laboratory Phone(405) 214-5105
Laboratory LocationCitizen Potawatomi Nation Health Services2307 S Gordon Cooper Drive, Suite N91-Lab, Shawnee, OK 74801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 37D0711397

Citizen Potawatomi Nation Wic Pro · Shawnee, OK
Active · expires Aug 31, 2028
CLIA Number37D0711397
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorShelley Schneider
Laboratory Phone(405) 273-3216
Laboratory LocationCitizen Potawatomi Nation Wic Pro1601 S Gordon Cooper Dr, Shawnee, OK 74801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Citizen Potawatomi Nation's NPI number?

The NPI number for Citizen Potawatomi Nation is 1194752949. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Citizen Potawatomi Nation Clinic.

Where is Citizen Potawatomi Nation located?

Citizen Potawatomi Nation is located at 2307 S Gordon Cooper Dr, Shawnee, OK 74801. The listed phone number is (405) 273-5236.

What is Citizen Potawatomi Nation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Citizen Potawatomi Nation enrolled in Medicare?

Yes. Citizen Potawatomi Nation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citizen Potawatomi Nation?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 18 Medicare specialties reassign their Medicare billing to Citizen Potawatomi Nation. 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 (15), Family Practice (8) and Optometry (7). Of these, 4 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Citizen Potawatomi Nation 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 Citizen Potawatomi Nation accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Citizen Potawatomi Nation 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 Citizen Potawatomi Nation was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.