CHICKASAW NATION DIVISION OF HEALTH
NPI 1649330242
Clinic/Center - Primary Care in Tishomingo, OK
About Chickasaw Nation Division Of Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHICKASAW NATION DIVISION OF HEALTH (NPI 1649330242), doing business as Chickasaw Nation Tishomingo Clinic, is a healthcare organization registered as a primary care in Tishomingo, Oklahoma and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Denise Carpenter, Contract Management Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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)
Chickasaw Nation Division Of Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
323Medicare enrollment records show 323 clinicians reassign Medicare billing to Chickasaw Nation Division Of Health, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 323Tishomingo, OK 73460
Tishomingo, OK 73460
Tishomingo, OK 73460
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 37D2264869
Chickasaw Nation Tishomingo Clinic · Tishomingo, OKFrequently 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 Chickasaw Nation Division Of Health's NPI number?
The NPI number for Chickasaw Nation Division Of Health is 1649330242. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Chickasaw Nation Tishomingo Clinic.
Where is Chickasaw Nation Division Of Health located?
Chickasaw Nation Division Of Health is located at 817 E 6th St, Tishomingo, OK 73460. The listed phone number is (580) 371-2392.
What is Chickasaw Nation Division Of Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Chickasaw Nation Division Of Health enrolled in Medicare?
Yes. Chickasaw Nation Division Of Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chickasaw Nation Division Of Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 323 clinicians in 36 Medicare specialties reassign their Medicare billing to Chickasaw Nation Division Of Health. 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 Diagnostic Radiology (59), Family Practice (34) and Nurse Practitioner (33). Of these, 9 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chickasaw Nation Division Of Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2264869) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Chickasaw Nation Division Of Health accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Chickasaw Nation Division Of Health 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 Chickasaw Nation Division Of Health was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Chickasaw Nation Division Of Health · NPI 1649330242
Primary Care organization in Tishomingo, Oklahoma. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1649330242 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Chickasaw Nation Tishomingo Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Denise Carpenter, CONTRACT MANAGEMENT COORDINATOR
## Practice location
- **Address:** 817 E 6TH ST, Tishomingo, OK 73460-1800
- **Phone:** (580) 371-2392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 323 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (59), Family Practice (34), Nurse Practitioner (33); 9 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1649330242/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649330242) · Data from the CMS NPPES public registry.