WHITE EAGLE HEALTH CENTER
NPI 1699875724
Clinic/Center in Ponca City, OK
About White Eagle Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE EAGLE HEALTH CENTER (NPI 1699875724), doing business as Ponca Tribal Health Authority, is a healthcare organization registered as a clinic/center in Ponca City, Oklahoma and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 28, 2028 and lists Bennett Arkeketa, Tribal Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
White Eagle Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to White Eagle Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 22Source: 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 Compliance 37D0901496
White Eagle Health Center · Ponca City, 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 White Eagle Health Center's NPI number?
The NPI number for White Eagle Health Center is 1699875724. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider was formerly known as Ponca Tribal Health Authority.
Where is White Eagle Health Center located?
White Eagle Health Center is located at 200 White Eagle Drive, Ponca City, OK 74601. The listed phone number is (580) 765-2501.
What is White Eagle Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is White Eagle Health Center enrolled in Medicare?
Yes. White Eagle Health Center is registered in the Medicare PECOS enrollment system.
When is White Eagle Health Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through White Eagle Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 8 Medicare specialties reassign their Medicare billing to White Eagle Health Center. 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 Mental Health Counselor (7), Nurse Practitioner (6) and Family Practice (4). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does White Eagle Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 37D0901496) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does White Eagle Health Center 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 6 other insurers list White Eagle Health Center 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 White Eagle Health Center was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# White Eagle Health Center · NPI 1699875724
Clinic/Center organization in Ponca City, Oklahoma. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1699875724 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Bennett Arkeketa, TRIBAL ADMINISTRATOR
## Practice location
- **Address:** 200 WHITE EAGLE DRIVE, Ponca City, OK 74601
- **Phone:** (580) 765-2501 · **Fax:** (580) 765-6348
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 22 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (7), Nurse Practitioner (6), Family Practice (4); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1699875724/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2016
- **Other identifiers:** Medicaid 100700590D (OK); Medicare PIN 400522110
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699875724) · Data from the CMS NPPES public registry.