MUSKOGEE FAMILY PRACTICE
NPI 1629766407
Family Medicine in Muskogee, OK

Active since April 28, 2023CLIA 37D2286940 · Waiver
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: August 02, 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 holds a CLIA Waiver certificate valid through August 6, 2027 and 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

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 37D2286940

Muskogee Family Practice · Muskogee, OK
Active · expires Aug 6, 2027
CLIA Number37D2286940
Laboratory TypePractitioner Other
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorMonica Hoog-Gage
Laboratory Phone(918) 681-7554
Laboratory LocationMuskogee Family Practice1118 W Bradway St, Muskogee, OK 74401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1118 W BROADWAY ST
MUSKOGEE, OK 74401
Nurse Practitioner (Family)
1118 W BROADWAY ST
MUSKOGEE, OK 74401
Nurse Practitioner (Family)
1118 W BROADWAY ST
MUSKOGEE, OK 74401
Family Medicine
1118 W BROADWAY ST
MUSKOGEE, OK 74401
Nurse Practitioner (Family)
1118 W BROADWAY ST
MUSKOGEE, OK 74401
Nurse Practitioner (Family)
1118 W BROADWAY ST
MUSKOGEE, OK 74401
Nurse Practitioner (Family)
1118 W BROADWAY ST
MUSKOGEE, OK 74401

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.

Does Muskogee Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2286940) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 8 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.