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KIMBERLY MCCOY APRN
NPI 1629773155
Nurse Practitioner - Family in Edmond, OK

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
3801 NW 166TH ST STE 4, EDMOND, OK 73012(405) 359-1122(405) 359-1100 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Mccoy Aprn NPPES

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

KIMBERLY MCCOY APRN (NPI 1629773155) is an individual family provider in Edmond, Oklahoma, licensed in Oklahoma (212267) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629773155
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY MCCOYCredential: APRN
Location Address3801 NW 166TH ST STE 4Edmond, OK 73012-9279
Mailing Address3801 Nw 166th St Ste 4Edmond, OK 73012-9279 · (405) 359-1122 · Fax (405) 359-1100
Phone(405) 359-1122
Fax(405) 359-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1629773155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 212267
3801 NW 166TH ST STE 4, Edmond, OK 73012
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

Kimberly Mccoy Aprn 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 ID7810354362
PECOS Enrollment IDI20230530000013
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 Reassignments

2

Medicare enrollment records show Kimberly Mccoy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deer Creek Family Healthcare And Wellness Clinic LLC
Same address
Primary Care
3801 NW 166TH ST STE 4
Edmond, OK 73012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
NPI 1003227414 (405) 359-1122
Signify Health, LLC
192 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Oklahoma enrollment
  • 238 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
Clinic/Center (Primary Care)
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 359-1122
JENNIFER A. KELLY, LCSW, LLC
Social Worker (Clinical)
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 412-6215
KIM B. KNOX NP
Nurse Practitioner
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 359-1122
JENNIFER ANN KELLY LCSW
Counselor (Professional)
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 412-6215

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 Kimberly Mccoy's NPI number?

The NPI number for Kimberly Mccoy is 1629773155. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Kimberly Mccoy located?

Kimberly Mccoy practices at 3801 NW 166th St Ste 4, Edmond, OK 73012. The listed phone number is (405) 359-1122.

What is Kimberly Mccoy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Mccoy enrolled in Medicare?

Yes. Kimberly Mccoy 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 organizations bill Medicare for Kimberly Mccoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mccoy reassigns Medicare benefits to 2 organizations: Deer Creek Family Healthcare And Wellness Clinic LLC (Edmond, OK) and Signify Health, LLC (Dallas, TX). Each 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 Kimberly Mccoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Mccoy 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 4 other insurers list Kimberly Mccoy 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 Kimberly Mccoy was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.