KETO WELLNESS AND HORMONE CLINIC
NPI 1295383289
Specialist in Norman, OK

Active since September 03, 2019
900 N PORTER AVE STE 212, NORMAN, OK 73071(405) 217-2922(405) 217-2940 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keto Wellness And Hormone Clinic NPPES

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

KETO WELLNESS AND HORMONE CLINIC (NPI 1295383289) is a healthcare organization registered as a specialist in Norman, Oklahoma and active in the NPI registry since September 2019. The organization lists John Ray Resneder, Owner, as its authorized official.

NPPES Registry Identity

NPI1295383289
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKETO WELLNESS AND HORMONE CLINIC
Location Address900 N PORTER AVE STE 212Norman, OK 73071-6485
Mailing Address900 N Porter Ave Ste 212Norman, OK 73071-6485 · (405) 217-2922 · Fax (405) 217-2940
Fax(405) 217-2940
Organization SubpartNo
Authorized OfficialJohn Ray ResnederOwner · (405) 217-2922
Enumeration DateSeptember 3, 2019
✔ NPI 1295383289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
900 N PORTER AVE STE 212, Norman, OK 73071

Other Identifiers 1

Medicaid1316989205OK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Keto Wellness And Hormone Clinic 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 Keto Wellness And Hormone Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1316989205
900 N PORTER AVE SUITE 110
Norman, OK 73071
(405) 366-8900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keto Wellness And Hormone Clinic's NPI number?

The NPI number for Keto Wellness And Hormone Clinic is 1295383289. It was assigned to this organization in the NPPES registry on September 3, 2019.

Where is Keto Wellness And Hormone Clinic located?

Keto Wellness And Hormone Clinic is located at 900 N Porter Ave Ste 212, Norman, OK 73071. The listed phone number is (405) 217-2922.

What is Keto Wellness And Hormone Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Keto Wellness And Hormone Clinic enrolled in Medicare?

Yes. Keto Wellness And Hormone Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keto Wellness And Hormone Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Keto Wellness And Hormone Clinic. 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 Keto Wellness And Hormone Clinic 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 Keto Wellness And Hormone Clinic 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 Keto Wellness And Hormone Clinic was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.