RESTORE FAMILY MEDICAL CLINIC
NPI 1528545472
Nurse Practitioner - Family in Antlers, OK
About Restore Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORE FAMILY MEDICAL CLINIC (NPI 1528545472) is a healthcare organization registered as a family in Antlers, Oklahoma and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Terry Jean Draper, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Restore Family 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 Restore Family Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 37D2151033
Restore Family Medical Clinic · Antlers, OKFrequently 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 Restore Family Medical Clinic's NPI number?
The NPI number for Restore Family Medical Clinic is 1528545472. It was assigned to this organization in the NPPES registry on July 24, 2018.
Where is Restore Family Medical Clinic located?
Restore Family Medical Clinic is located at 416020 E 1951 Rd, Antlers, OK 74523. The listed phone number is (580) 982-6044.
What is Restore Family Medical Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Restore Family Medical Clinic enrolled in Medicare?
Yes. Restore Family Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Restore Family Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Restore Family 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.
Does Restore Family Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2151033) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Restore Family Medical Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Restore Family 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 Restore Family Medical Clinic was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Restore Family Medical Clinic · NPI 1528545472
Family organization in Antlers, Oklahoma. Organization record, active in the CMS NPPES registry since July 24, 2018.
## Identity
- **NPI:** 1528545472 (Entity type: Organization)
- **Enumerated:** July 24, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Terry Draper, PRESIDENT
## Practice location
- **Address:** 416020 E 1951 RD, Antlers, OK 74523
- **Phone:** (580) 982-6044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528545472) · Data from the CMS NPPES public registry.