GOOD SHEPHERD COMMUNITY CLINIC, INC.
Medicare Clinicians for NPI 1285010413
Clinic/Center - Federally Qualified Health Center (FQHC) in Ardmore, OK

Active since August 11, 2015CLIA 37D0910045 · Waiver
20 12TH AVE NW, ARDMORE, OK 73401(580) 223-3411(580) 223-6614 Get Directions

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2022, Apr 12, 2021, Jul 15, 2019 and 1 more (4 updates tracked since 2019).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Good Shepherd Community Clinic, Inc. in Ardmore, OK bills Medicare for 21 clinicians across 6 Medicare specialties. The largest specialties are Nurse Practitioner with 12, Family Practice with 5 and Clinical Social Worker with 1. Of these, 2 practice at this address and 16 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

21Clinicians
6Medicare specialties
21PECOS enrolled
16Accept Medicare
21 clinicians in 6 specialties

Nurse Practitioner (12)

Nurse Practitioner
NPI 1205973377
20 12TH AVE NW
Ardmore, OK 73401
(580) 223-3411
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548125438
20 12TH AVE NW
Ardmore, OK 73401
(580) 226-0543
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1487795613
1011 14TH AVE NW
Ardmore, OK 73401
(580) 220-6360
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1881387678
1306 12TH AVE NW
Ardmore, OK 73401
(580) 223-6003
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1023251360
1116 WALNUT DR
Ardmore, OK 73401
(580) 226-0543
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1184200669
1116 WALNUT DR
Ardmore, OK 73401
(580) 223-6054
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1861677254
1115 WALNUT DR
Ardmore, OK 73401
(580) 223-7472
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1427472083
2401 N COMMERCE ST
Ardmore, OK 73401
(580) 226-0543
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1144741661
106 BURR AVE
Pauls Valley, OK 73075
(405) 238-4633
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1598216830
415 W GUY AVE
Pauls Valley, OK 73075
(405) 238-1170
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1013024033
4215 JOE RAMSEY BLVD E
Greenville, TX 75401
(580) 263-0091
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1548970437
3838 OAK LAWN AVE STE 1000
Dallas, TX 75219
(469) 653-0808
✔ PECOS96 mi

Family Practice (5)

Family Practice
NPI 1730765298
20 12TH AVE NW
Ardmore, OK 73401
(580) 223-3411
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1871607903
1104 WALNUT DR
Ardmore, OK 73401
(580) 226-0543
✔ PECOS1.3 mi
Family Practice
NPI 1407879661
1104 WALNUT DR
Ardmore, OK 73401
(580) 226-0543
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1700528510
1104 WALNUT DR
Ardmore, OK 73401
(580) 226-0543
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1376107060
4004 WORTH ST STE 200
Dallas, TX 75246
(972) 984-2675
✔ PECOS98 mi

Clinical Social Worker (1)

Clinical Social Worker
NPI 1821249293
2525 3RD AVE NE
Ardmore, OK 73401
(580) 223-2142
✔ PECOS✔ Accepts Medicare2.0 mi

Dentist (1)

Dentist
NPI 1184282329
20 12TH AVE NW
Ardmore, OK 73401
(580) 223-3411
✔ PECOSSame address

Obstetrics/Gynecology (1)

Obstetrics/Gynecology
NPI 1295706612
970 NORTHWEST BLVD
Ardmore, OK 73401
(580) 221-7500
✔ PECOS✔ Accepts Medicare0.9 mi

Psychiatry (1)

Psychiatry
NPI 1538393137
1104 WALNUT DR
Ardmore, OK 73401
(580) 226-0543
✔ PECOS✔ Accepts Medicare1.3 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Good Shepherd Community Clinic, Inc. appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.