AMC URGENT CARE PLUS, LLC
NPI 1285644153
General Practice in Ponca City, OK

Active since August 09, 2006CLIA Certified · 2 labs
2101 N 14TH ST, STE 114, PONCA CITY, OK 74601(580) 762-1552 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amc Urgent Care Plus, Llc NPPES

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

AMC URGENT CARE PLUS, LLC (NPI 1285644153) is a healthcare organization registered as a general practice in Ponca City, Oklahoma and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Keri Self, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1285644153
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAMC URGENT CARE PLUS, LLC
Location Address2101 N 14TH ST, STE 114Ponca City, OK 74601-1807
Mailing Address2101 N 14th St, Ste 114Ponca City, OK 74601-1807 · (580) 762-1552
Organization SubpartNo
Authorized OfficialKeri SelfOperations Manager · (580) 762-2366
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1285644153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2101 N 14TH ST, Ponca City, OK 74601

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amc Urgent Care Plus, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20061007000015Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Amc Urgent Care Plus, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner12
Emergency Medicine2
Family Practice1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1205206109
2101 N 14TH ST STE 114
Ponca City, OK 74601
(580) 762-2366
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942747837
1715 N 5TH ST
Ponca City, OK 74601
(580) 762-9292
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1205343605
1201 E HARTFORD AVE
Ponca City, OK 74601
(580) 762-1911
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1114923489
115 W BRIDGE AVE
Blackwell, OK 74631
(580) 363-3501
✔ PECOS✔ Accepts Medicare13 mi
Emergency Medicine
NPI 1528064805
1009 W FERGUSON AVE
Blackwell, OK 74631
(580) 363-0052
✔ PECOS✔ Accepts Medicare14 mi
Emergency Medicine
NPI 1528064763
1009 W FERGUSON AVE
Blackwell, OK 74631
(580) 363-0052
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1134607310
1301 W 6TH AVE STE 207
Stillwater, OK 74074
(405) 533-3010
✔ PECOS42 mi
Nurse Practitioner
NPI 1700239050
1909 W 6TH AVE # B
Stillwater, OK 74074
(405) 385-0029
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1053717546
4316 JENNA LN
Stillwater, OK 74074
(580) 284-2273
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1316712144
1411 W 12TH AVE STE E
Stillwater, OK 74074
(405) 338-7707
✔ PECOS43 mi
Nurse Practitioner
NPI 1033951363
10512 N 110TH EAST AVE STE 130
Owasso, OK 74055
(918) 272-6333
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1528543014
4549 E 85TH ST
Tulsa, OK 74137
(918) 710-6727
✔ PECOS✔ Accepts Medicare79 mi
Nurse Practitioner
NPI 1689493348
160 E SW 59TH ST
Mustang, OK 73064
(405) 730-6990
✔ PECOS✔ Accepts Medicare98 mi
Nurse Practitioner
NPI 1982386298
1912 MULBERRY ST
Wagoner, OK 74467
(539) 215-4303
✔ PECOS117 mi
Nurse Practitioner
NPI 1881951028
6500 RED HOOK PLZ STE 205
St Thomas, VI 00802
(405) 818-8050
✔ PECOS✔ Accepts Medicare

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 2

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 Accreditation 37D1062738

Amc Urgent Care Plus · Ponca City, OK
Active · expires Jun 23, 2028
CLIA Number37D1062738
Laboratory TypeOther
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorSamuel Hague
Laboratory Phone(580) 762-1552
Laboratory LocationAmc Urgent Care Plus2101 N 14th Street Ste 114, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 37D2287347

Amc Urgent Care Plus, LLC · Broken Arrow, OK
Active · expires Jul 22, 2028
CLIA Number37D2287347
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorDr. Samuel Hague
Laboratory Phone(580) 762-2366
Laboratory LocationAmc Urgent Care Plus, LLC816 W Tucson, Broken Arrow, OK 74011
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Amc Urgent Care Plus, LLC's NPI number?

The NPI number for Amc Urgent Care Plus, LLC is 1285644153. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Amc Urgent Care Plus, LLC located?

Amc Urgent Care Plus, LLC is located at 2101 N 14th St Ste 114, Ponca City, OK 74601. The listed phone number is (580) 762-1552.

What is Amc Urgent Care Plus, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amc Urgent Care Plus, LLC enrolled in Medicare?

Yes. Amc Urgent Care Plus, LLC is registered in the Medicare PECOS enrollment system.

When is Amc Urgent Care Plus, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Amc Urgent Care Plus, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Amc Urgent Care Plus, 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 (12), Emergency Medicine (2) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amc Urgent Care Plus, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Amc Urgent Care Plus, 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 3 other insurers list Amc Urgent Care Plus, 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 Amc Urgent Care Plus, LLC was last updated on April 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.