PROVIDENCE FAMILY PRACTICE, PLLC
NPI 1215185491
Nurse Practitioner - Family in Oklahoma City, OK
About Providence Family Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE FAMILY PRACTICE, PLLC (NPI 1215185491) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since August 2008. The organization lists Christiana Enanga Williams, Arnp-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Providence Family Practice, Pllc 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 Providence Family Practice, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 Waiver 37D1090196
Providence Family Practice, PLLC · Oklahoma City, OKFrequently 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 Providence Family Practice, PLLC's NPI number?
The NPI number for Providence Family Practice, PLLC is 1215185491. It was assigned to this organization in the NPPES registry on August 31, 2008.
Where is Providence Family Practice, PLLC located?
Providence Family Practice, PLLC is located at 1016 SW 44th St Ste 400, Oklahoma City, OK 73109. The listed phone number is (405) 702-9050.
What is Providence Family Practice, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Providence Family Practice, PLLC enrolled in Medicare?
Yes. Providence Family Practice, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Family Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Providence Family Practice, PLLC. 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 Providence Family Practice, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Providence Family Practice, PLLC 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 Providence Family Practice, PLLC was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Providence Family Practice, Pllc · NPI 1215185491
Family organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since August 31, 2008.
## Identity
- **NPI:** 1215185491 (Entity type: Organization)
- **Enumerated:** August 31, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Christiana Williams, ARNP-C
## Practice location
- **Address:** 1016 SW 44TH ST STE 400, Oklahoma City, OK 73109-3617
- **Phone:** (405) 702-9050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2009
- **Other identifiers:** Medicaid 200087300A (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215185491) · Data from the CMS NPPES public registry.