MUSKOGEE FAMILY PRACTICE
NPI 1629766407
Family Medicine in Muskogee, OK

Active since April 28, 2023
1118 W BROADWAY ST, MUSKOGEE, OK 74401(918) 681-7554 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2025, May 11, 2023 (2 updates tracked since 2023).

About Muskogee Family Practice NPPES

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

MUSKOGEE FAMILY PRACTICE (NPI 1629766407) is a healthcare organization registered as a family medicine in Muskogee, Oklahoma and active in the NPI registry since April 2023. The organization lists Lisa S Briscoe, Manager, as its authorized official.

NPPES Registry Identity

NPI1629766407
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMUSKOGEE FAMILY PRACTICE
Location Address1118 W BROADWAY STMuskogee, OK 74401-6246
Mailing Address1118 W Broadway StMuskogee, OK 74401-6246 · (918) 681-7554
Organization SubpartNo
Authorized OfficialLisa S BriscoeManager · (918) 808-7626
Enumeration DateApril 28, 2023
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1629766407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/CenterTaxonomy 261Q00000X
1118 W BROADWAY ST, Muskogee, OK 74401

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)

Muskogee 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 Muskogee 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)

Nurse Practitioner
NPI 1699230961
1118 W BROADWAY ST
Muskogee, OK 74401
(918) 681-7554
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1851974653
6717 S YALE AVE STE 210
Tulsa, OK 74136
(918) 675-0068
✔ PECOS✔ Accepts Medicare37 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 Muskogee Family Practice's NPI number?

The NPI number for Muskogee Family Practice is 1629766407. It was assigned to this organization in the NPPES registry on April 28, 2023.

Where is Muskogee Family Practice located?

Muskogee Family Practice is located at 1118 W Broadway St, Muskogee, OK 74401. The listed phone number is (918) 681-7554.

What is Muskogee Family Practice's specialty?

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

Is Muskogee Family Practice enrolled in Medicare?

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

How many clinicians bill Medicare through Muskogee Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Muskogee Family Practice, in General Practice and Nurse Practitioner. 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.

What insurance does Muskogee Family Practice accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Muskogee Family Practice 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 Muskogee Family Practice was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.