MAGNOLIA CLINIC
NPI 1639602873
Nurse Practitioner - Family in Shawnee, OK

Active since April 05, 2017
4409 N KICKAPOO AVE, SUITE 121, SHAWNEE, OK 74804(405) 249-0459 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Magnolia Clinic NPPES

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

MAGNOLIA CLINIC (NPI 1639602873) is a healthcare organization registered as a family in Shawnee, Oklahoma and active in the NPI registry since April 2017. The organization lists Katie Luanne Frost, Aprn-cnp/owner, as its authorized official.

NPPES Registry Identity

NPI1639602873
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNKR ENTERPRISES, APRN-CNP, PLLC
Location Address4409 N KICKAPOO AVE, SUITE 121Shawnee, OK 74804-1206
Mailing Address4409 N Kickapoo Ave, Suite 121Shawnee, OK 74804-1206
Organization SubpartNo
Authorized OfficialKatie Luanne FrostAprn-cnp/owner · (405) 249-0459
Enumeration DateApril 5, 2017
✔ NPI 1639602873 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 · 86085
4409 N KICKAPOO AVE, Shawnee, OK 74804

Other Names 1

Doing Business AsMagnolia Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Clinic 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 Magnolia Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1225270705
4409 N KICKAPOO AVE STE 121
Shawnee, OK 74804
(405) 585-0475
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1679828693
4600 SE 29TH ST SUITE 750
Del City, OK 73115
(405) 733-5900
✔ PECOS✔ Accepts Medicare29 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 Nkr Enterprises, Aprn-Cnp, PLLC's NPI number?

The NPI number for Nkr Enterprises, Aprn-Cnp, PLLC is 1639602873. It was assigned to this organization in the NPPES registry on April 5, 2017. The provider is doing business as Magnolia Clinic.

Where is Nkr Enterprises, Aprn-Cnp, PLLC located?

Nkr Enterprises, Aprn-Cnp, PLLC is located at 4409 N Kickapoo Ave Suite 121, Shawnee, OK 74804. The listed phone number is (405) 249-0459.

What is Nkr Enterprises, Aprn-Cnp, PLLC's specialty?

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

Is Nkr Enterprises, Aprn-Cnp, PLLC enrolled in Medicare?

Yes. Nkr Enterprises, Aprn-Cnp, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nkr Enterprises, Aprn-Cnp, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nkr Enterprises, Aprn-Cnp, PLLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nkr Enterprises, Aprn-Cnp, PLLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.