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FARMER FAMILY PRACTICE
NPI 1487168092
Clinic/Center in Wagoner, OK

Active since November 20, 2017CLIA 37D2143662 · Waiver
1202 W CHEROKEE ST STE H, WAGONER, OK 74467(918) 485-7020(918) 485-7023 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2023, Nov 20, 2017 (2 updates tracked since 2017).

About Farmer Family Practice NPPES

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

FARMER FAMILY PRACTICE (NPI 1487168092) is a healthcare organization registered as a clinic/center in Wagoner, Oklahoma and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Jennifer Farmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1487168092
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFARMER FAMILY PRACTICE
Location Address1202 W CHEROKEE ST STE HWagoner, OK 74467-4629
Mailing Address1202 W Cherokee St Ste HWagoner, OK 74467-4629 · (918) 485-7020 · Fax (918) 485-7023
Phone(918) 485-7020
Fax(918) 485-7023
Organization SubpartNo
Authorized OfficialJennifer FarmerOwner · (918) 485-7020
Enumeration DateNovember 20, 2017
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1487168092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1202 W CHEROKEE ST STE H, Wagoner, OK 74467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farmer Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Farmer Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Farmer, ARNP-CNP
Nurse Practitioner
NPI 1992965255
1202 W CHEROKEE ST STE H
Wagoner, OK 74467
(918) 485-7020
✔ PECOS✔ Accepts MedicareSame address
Robyn Farmer, APRN-CNP
Nurse Practitioner
NPI 1376064139
1202 W. CHEROKEE SUITE G
Wagoner, OK 74467
(918) 485-5591
✔ PECOS✔ Accepts Medicare16 mi

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

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 Waiver 37D2143662

Farmer Family Practice · Wagoner, OK
Active · expires Feb 1, 2028
CLIA Number37D2143662
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorJennifer A. Farmer
Laboratory Phone(918) 485-7020
Laboratory LocationFarmer Family Practice1202 W Cherokee Suite G, Wagoner, OK 74467
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Farmer Family Practice's NPI number?

The NPI number for Farmer Family Practice is 1487168092. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Farmer Family Practice located?

Farmer Family Practice is located at 1202 W Cherokee St Ste H, Wagoner, OK 74467. The listed phone number is (918) 485-7020.

What is Farmer Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Farmer Family Practice enrolled in Medicare?

Yes. Farmer Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Farmer Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Farmer Family Practice. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Farmer Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2143662) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Farmer Family Practice was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.