FAITH MEDICAL CLINIC
NPI 1477326759
Nurse Practitioner - Family in Antlers, OK

Active since October 30, 2023
114 N HIGH ST, ANTLERS, OK 74523(580) 982-5901(580) 982-5902 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2026, Oct 30, 2023 (2 updates tracked since 2023).

About Faith Medical Clinic NPPES

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

FAITH MEDICAL CLINIC (NPI 1477326759) is a healthcare organization registered as a family in Antlers, Oklahoma and active in the NPI registry since October 2023. The organization lists Charity Rosenthal, Member, as its authorized official.

NPPES Registry Identity

NPI1477326759
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAITH MEDICAL CLINIC
Location Address114 N HIGH STAntlers, OK 74523-2250
Mailing Address114 N High StAntlers, OK 74523-2250 · (580) 982-5901 · Fax (580) 982-5902
Fax(580) 982-5902
Organization SubpartNo
Authorized OfficialCharity RosenthalMember · (580) 982-5901
Enumeration DateOctober 30, 2023
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1477326759 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
114 N HIGH ST, Antlers, OK 74523

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faith Medical 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 Faith Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1245918747
114 N HIGH ST
Antlers, OK 74523
(580) 271-1917
✔ 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 Faith Medical Clinic's NPI number?

The NPI number for Faith Medical Clinic is 1477326759. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Faith Medical Clinic located?

Faith Medical Clinic is located at 114 N High St, Antlers, OK 74523. The listed phone number is (580) 982-5901.

What is Faith Medical Clinic's specialty?

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

Is Faith Medical Clinic enrolled in Medicare?

Yes. Faith Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faith Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Faith Medical 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 Faith Medical Clinic accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Faith Medical 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 Faith Medical Clinic was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.