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MRS. CHAN VANNARATH NURSE PRACTITIONER
NPI 1225542905
Nurse Practitioner - Gerontology in Lawton, OK

Active since November 17, 2017PECOS Enrolled
4303 PITMAN ST, LAWTON, OK 73503(580) 585-5600 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Jun 16, 2018, Nov 17, 2017 (3 updates tracked since 2017).

About Mrs. Chan Vannarath Nurse Practitioner NPPES

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

MRS. CHAN VANNARATH NURSE PRACTITIONER (NPI 1225542905) is an individual gerontology provider in Lawton, Oklahoma, licensed in Oklahoma (84017) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225542905
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. CHAN VANNARATHCredential: NURSE PRACTITIONER
Location Address4303 PITMAN STLawton, OK 73503-4473
Mailing Address4303 Pitman StLawton, OK 73503-4473 · (580) 585-5600
Phone(580) 585-5600
Sole ProprietorYes
Enumeration DateNovember 17, 2017
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1225542905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OK · 84017
4303 PITMAN ST, Lawton, OK 73503
Open in Google Maps ↗

Other Identifiers 1

Other1879OK · Nurse Practitioner

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chan Vannarath Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73503 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 11

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

FRANK BARTEK DPT
Physical Therapist (Orthopedic)
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5841
DR. FERNANDO E GAMONEDA MD
General Practice
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5782
SHANNON MARIE STANGL PA-C
Physician Assistant
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5600
SHANE DOLLARHITE AU.D.
Audiologist
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5862
PAMELA TAYLOR LCSW
Counselor (Mental Health)
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (405) 403-8513
ASHLEY NICOLE PEREZ FNP-C
Nurse Practitioner (Family)
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5600
CELEST L BROWN
Social Worker
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5600
DR. ANGEL K HONG D.C.
Chiropractor
4303 PITMAN ST
FORT SILL, OK 73503
Comanche County (580) 585-5600

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 Chan Vannarath's NPI number?

The NPI number for Chan Vannarath is 1225542905. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Where is Chan Vannarath located?

Chan Vannarath practices at 4303 Pitman St, Lawton, OK 73503. The listed phone number is (580) 585-5600.

What is Chan Vannarath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Chan Vannarath enrolled in Medicare?

Yes. Chan Vannarath is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chan Vannarath was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.