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JERRY WYATT MBS
NPI 1508999558
Counselor - Professional in Durant, OK

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
1925 W ELM ST, DURANT, OK 74701(580) 924-6363(580) 924-0379 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry Wyatt Mbs NPPES

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

JERRY WYATT MBS (NPI 1508999558) is an individual professional provider in Durant, Oklahoma, licensed in Oklahoma (3456) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1508999558
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRY WYATTCredential: MBS
Location Address1925 W ELM STDurant, OK 74701-3429
Mailing Address1925 W Elm StDurant, OK 74701-3429 · (580) 924-6363 · Fax (580) 924-0379
Phone(580) 924-6363
Fax(580) 924-0379
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 21, 2008
✔ NPI 1508999558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 3456
1925 W ELM ST, Durant, OK 74701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Jerry Wyatt Mbs 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 ID8729544077
PECOS Enrollment IDI20260728002390
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 Reassignment

Medicare enrollment records show Jerry Wyatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elite Counseling LLC
17 mi
Mental Health (Including Community Mental Health Center)
413 HIGHWAY 70 N
Kingston, OK 73439
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
NPI 1144554585 (580) 564-7308

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

Other Providers at the Same Location NPPES

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

LAURALY WYATT MBS
Counselor (Professional)
1925 W ELM ST
DURANT, OK 74701
Bryan County (580) 924-6363

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 Jerry Wyatt's NPI number?

The NPI number for Jerry Wyatt is 1508999558. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Jerry Wyatt located?

Jerry Wyatt practices at 1925 W Elm St, Durant, OK 74701. The listed phone number is (580) 924-6363.

What is Jerry Wyatt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jerry Wyatt enrolled in Medicare?

Yes. Jerry Wyatt 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 organization bills Medicare for Jerry Wyatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Wyatt reassigns Medicare benefits to Elite Counseling LLC (Kingston, OK). The 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 Jerry Wyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Wyatt accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jerry Wyatt 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 Jerry Wyatt was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.