NERVE RENEWAL GROUP LLC
NPI 1538839832
Family Medicine in Oklahoma City, OK

Active since September 17, 2021
3705 NW 63RD ST STE 101, OKLAHOMA CITY, OK 73116(405) 495-9270 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Mar 3, 2025, Sep 17, 2021 (3 updates tracked since 2021).

About Nerve Renewal Group Llc NPPES

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

NERVE RENEWAL GROUP LLC (NPI 1538839832) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since September 2021. The organization lists Tim Bales, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1538839832
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNERVE RENEWAL GROUP LLC
Location Address3705 NW 63RD ST STE 101Oklahoma City, OK 73116-1937
Mailing Address3705 Nw 63rd St Ste 200Oklahoma City, OK 73116-1937 · (405) 953-7221 · Fax (405) 669-3517
Organization SubpartNo
Authorized OfficialTim BalesAuthorized Official · (405) 495-9270
Enumeration DateSeptember 17, 2021
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1538839832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3705 NW 63RD ST STE 101, Oklahoma City, OK 73116

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nerve Renewal Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20211110003213Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Nerve Renewal Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1215552658
3705 NW 63RD ST STE 101
Oklahoma City, OK 73116
(405) 495-9270
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538696083
3524 NW 56TH ST
Oklahoma City, OK 73112
(405) 606-6937
✔ PECOS0.7 mi
Diagnostic Radiology
NPI 1003057670
921 NE 13TH ST
Oklahoma City, OK 73104
(405) 456-2589
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1578296042
4400 GRANT BLVD
Yukon, OK 73099
(405) 787-8550
✔ PECOS✔ Accepts Medicare6.4 mi
Diagnostic Radiology
NPI 1760521645
1705 RENAISSANCE BLVD STE 100
Edmond, OK 73013
(405) 285-6901
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1689060725
2000 ANN BRANDEN BLVD STE 201
Norman, OK 73071
(405) 307-1000
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1013392737
1323 W 6TH AVE
Stillwater, OK 74074
(405) 372-1480
✔ PECOS✔ Accepts Medicare49 mi

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 Nerve Renewal Group LLC's NPI number?

The NPI number for Nerve Renewal Group LLC is 1538839832. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Nerve Renewal Group LLC located?

Nerve Renewal Group LLC is located at 3705 NW 63rd St Ste 101, Oklahoma City, OK 73116. The listed phone number is (405) 495-9270.

What is Nerve Renewal Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nerve Renewal Group LLC enrolled in Medicare?

Yes. Nerve Renewal Group LLC is registered in the Medicare PECOS enrollment system.

When is Nerve Renewal Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nerve Renewal Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Nerve Renewal Group LLC. 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. The largest specialties are Nurse Practitioner (5) and Diagnostic Radiology (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nerve Renewal Group LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Nerve Renewal Group LLC 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 Nerve Renewal Group LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.