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MRS. KENDRA KAY GORE CNP-FAMILY
NPI 1366001398
Nurse Practitioner - Family in Kingfisher, OK

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
102 STARLITE DR, KINGFISHER, OK 73750(572) 200-8805(405) 200-1071 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Jun 12, 2019 (2 updates tracked since 2019).

About Mrs. Kendra Kay Gore Cnp-family NPPES

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

MRS. KENDRA KAY GORE CNP-FAMILY (NPI 1366001398) is an individual family provider in Kingfisher, Oklahoma, licensed in Oklahoma (99814) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and maintains a secondary practice location in Kingfisher.

NPPES Registry Identity

NPI1366001398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KENDRA KAY GORECredential: CNP-FAMILY
Location Address102 STARLITE DRKingfisher, OK 73750-4944
Mailing Address102 Starlite DrKingfisher, OK 73750-4944 · (572) 200-8805 · Fax (405) 200-1071
Phone(572) 200-8805
Fax(405) 200-1071
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1366001398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 99814
102 STARLITE DR, Kingfisher, OK 73750
Open in Google Maps ↗

Secondary Practice Location 1

Location 122814 Cterling DrKingfisher, OK 73750-2349 · Phone (405) 538-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kendra Kay Gore Cnp-family is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769713239
PECOS Enrollment IDI20191015000391
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kendra Gore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icare Center LLC
52 mi
Urgent Care
21001 SE 29TH ST UNIT 1
Harrah, OK 73045
  • Reassigned Medicare billing, Oklahoma enrollment
  • 59 clinicians in this Medicare group
NPI 1881190833 (405) 391-5526
Williams Medical Group Practice, LLC
88 mi
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 249 clinicians in this Medicare group
NPI 1346608809 (580) 536-9355

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services37 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
54 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
45 services38 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
38 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Kingfisher, Inc

Critical Access Hospitals · Kingfisher, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371313
Location1000 Hospital DriveKingfisher, OK 73750 · Kingfisher County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73750 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

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

STEPHANIE LUECKE
Nurse Practitioner
102 STARLITE DR
KINGFISHER, OK 73750
Kingfisher County (572) 200-8805

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 Kendra Gore's NPI number?

The NPI number for Kendra Gore is 1366001398. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Kendra Gore located?

Kendra Gore practices at 102 Starlite Dr, Kingfisher, OK 73750. The listed phone number is (572) 200-8805.

What is Kendra Gore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kendra Gore enrolled in Medicare?

Yes. Kendra Gore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kendra Gore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Gore reassigns Medicare benefits to 2 organizations: Icare Center LLC (Harrah, OK) and Williams Medical Group Practice, LLC (Lawton, OK). Each 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 Kendra Gore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Gore accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Kendra Gore 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.

Is Kendra Gore affiliated with any hospitals?

According to CMS data, Kendra Gore is affiliated with O U Medical Center and Mercy Hospital Kingfisher, Inc.

When was this NPI record last updated?

The NPPES record for Kendra Gore was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.