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THEODORA VIOLET BEKEDEREMO FNP
NPI 1205667672
Nurse Practitioner - Family in Oklahoma City, OK

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
825 NE 10TH ST, OKLAHOMA CITY, OK 73104(405) 271-4700(405) 271-3727 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodora Violet Bekederemo Fnp NPPES

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

THEODORA VIOLET BEKEDEREMO FNP (NPI 1205667672) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (217466) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205667672
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHEODORA VIOLET BEKEDEREMOCredential: FNP
Location Address825 NE 10TH STOklahoma City, OK 73104-5417
Mailing Address5204 N Linn AveOklahoma City, OK 73112-8029 · (405) 719-7909
Phone(405) 271-4700
Fax(405) 271-3727
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 8, 2024
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1205667672 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 · 217466
825 NE 10TH ST, Oklahoma City, OK 73104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Theodora Violet Bekederemo Fnp 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 ID7012449754
PECOS Enrollment IDI20241018001442
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.

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 20

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

DR. BEVERLY JEAN TALBERT M.D.
Surgery
825 NE 10TH ST, OUPB5350
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4864
ANN V STEWART CNM
Advanced Practice Midwife
825 NE 10TH ST, OUPB3300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-9494
DANIEL J CULKIN MD
Urology
825 NE 10TH ST, OUPB5400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6452
DR. SCOTT WALEN M.D., FRCSC
Otolaryngology (Plastic Surgery within the Head & Neck)
825 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-1368
DR. RISHI THAKRAL MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
825 NE 10TH ST, OUPB 1C
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2663
MARIE A BERNARD MD
Internal Medicine (Geriatric Medicine)
825 NE 10TH ST, OUPB 4400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-3050
MS. TARA ROSE CHAVIS APRN-CNP, WHNP-BC
Nurse Practitioner (Women's Health)
825 NE 10TH ST, SUITE 3300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5239
ELIZABETH J SYZEK MD
Radiology (Radiation Oncology)
825 NE 10TH ST, OUPB1430
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5641

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 Theodora Bekederemo's NPI number?

The NPI number for Theodora Bekederemo is 1205667672. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Theodora Bekederemo located?

Theodora Bekederemo practices at 825 NE 10th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-4700.

What is Theodora Bekederemo's specialty?

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

Is Theodora Bekederemo enrolled in Medicare?

Yes. Theodora Bekederemo 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 Theodora Bekederemo accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Theodora Bekederemo 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 Theodora Bekederemo affiliated with any hospitals?

According to CMS data, Theodora Bekederemo is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Theodora Bekederemo was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.