TRIAD COMPLETE HEALTHCARE
NPI 1245867258
Family Medicine in Ponca City, OK
About Triad Complete Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIAD COMPLETE HEALTHCARE (NPI 1245867258) is a healthcare organization registered as a family medicine in Ponca City, Oklahoma and active in the NPI registry since March 2020. The organization holds a CLIA Certificate of Compliance certificate valid through November 25, 2027 and lists Amy Beverley, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Triad Complete Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Triad Complete Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Compliance 37D2334680
Triad Complete Healthcare · Ponca 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 Triad Health Systems LLC's NPI number?
The NPI number for Triad Health Systems LLC is 1245867258. It was assigned to this organization in the NPPES registry on March 27, 2020. The provider is doing business as Triad Complete Healthcare.
Where is Triad Health Systems LLC located?
Triad Health Systems LLC is located at 2703 N 14th St, Ponca City, OK 74601. The listed phone number is (580) 765-9451.
What is Triad Health Systems LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Triad Health Systems LLC enrolled in Medicare?
Yes. Triad Health Systems LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Triad Health Systems LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Triad Health Systems LLC. 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 (4), Family Practice (2) and General Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Triad Health Systems LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 37D2334680) is associated with this NPI, valid through November 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Triad Health Systems LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Triad Health Systems LLC 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 Triad Health Systems LLC was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Triad Complete Healthcare · NPI 1245867258
Family Medicine organization in Ponca City, Oklahoma. Organization record, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1245867258 (Entity type: Organization)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Triad Health Systems Llc
- **Organization subpart:** No
- **Authorized official:** Amy Beverley, BILLING MANAGER
## Practice location
- **Address:** 2703 N 14TH ST, Ponca City, OK 74601
- **Phone:** (580) 765-9451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), General Practice (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245867258) · Data from the CMS NPPES public registry.