SHANTY VARUGHESE APRN
NPI 1366962300
Nurse Practitioner in Oklahoma City, OK

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
800 NE 10TH ST STE 2100, OKLAHOMA CITY, OK 73104(405) 271-8707(405) 271-2976 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2018, Jun 21, 2017 (2 updates tracked since 2017).

About Shanty Varughese Aprn NPPES

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

SHANTY VARUGHESE APRN (NPI 1366962300) is an individual nurse practitioner in Oklahoma City, Oklahoma, licensed in Oklahoma (72132) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366962300
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANTY VARUGHESECredential: APRN
Location Address800 NE 10TH ST STE 2100Oklahoma City, OK 73104
Mailing Address800 Ne 10th St Ste 5050Oklahoma City, OK 73104-5418 · (405) 271-7770 · Fax (405) 271-1006
Fax(405) 271-2976
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2017
Last NPPES UpdateAugust 27, 20182 updates tracked since enumeration
✔ NPI 1366962300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 72132
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License R0072132 (OK)
800 NE 10TH ST STE 2100, Oklahoma City, OK 73104

Accepted 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

Shanty Varughese Aprn 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 ID9335414077
PECOS Enrollment IDI20171006000174
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 Shanty Varughese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group

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 2

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 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.
368 services228 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
184 services77 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Other Providers at the Same Location NPPES

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

Clinical Nurse Specialist (Gerontology)
800 NE 10TH ST STE 2100
OKLAHOMA CITY, OK 73104

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 Shanty Varughese's NPI number?

The NPI number for Shanty Varughese is 1366962300. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Shanty Varughese located?

Shanty Varughese practices at 800 NE 10th St Ste 2100, Oklahoma City, OK 73104. The listed phone number is (405) 271-8707.

What is Shanty Varughese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shanty Varughese enrolled in Medicare?

Yes. Shanty Varughese 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 Shanty Varughese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanty Varughese reassigns Medicare benefits to 2 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK) and Ou Health Partners, Inc (Oklahoma City, 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 Shanty Varughese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanty Varughese accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Shanty Varughese 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 Shanty Varughese affiliated with any hospitals?

According to CMS data, Shanty Varughese is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Shanty Varughese was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.