STATE OF OKLAHOMA
NPI 1750456588
Clinic/Center - Medical Specialty in Woodward, OK
About State Of Oklahoma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF OKLAHOMA (NPI 1750456588) is a healthcare organization registered as a medical specialty in Woodward, Oklahoma and active in the NPI registry since November 2006. The organization lists Autumn Nickelson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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)
State Of Oklahoma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
170Medicare enrollment records show 170 clinicians reassign Medicare billing to State Of Oklahoma, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 170Fort Supply, OK 73841
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 State Of Oklahoma's NPI number?
The NPI number for State Of Oklahoma is 1750456588. It was assigned to this organization in the NPPES registry on November 20, 2006.
Where is State Of Oklahoma located?
State Of Oklahoma is located at 1222 10th Street, Suite 211 Northwest Center For Behavioral Health, Woodward, OK 73801. The listed phone number is (580) 571-3217.
What is State Of Oklahoma's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is State Of Oklahoma enrolled in Medicare?
Yes. State Of Oklahoma is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Oklahoma?
According to the CMS Revalidation Reassignment List (October 2026 release), 170 clinicians in 7 Medicare specialties reassign their Medicare billing to State Of Oklahoma. 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 (61), Psychiatry (59) and Nurse Practitioner (27). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does State Of Oklahoma accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list State Of Oklahoma 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 State Of Oklahoma was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# State Of Oklahoma · NPI 1750456588
Medical Specialty organization in Woodward, Oklahoma. Organization record, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1750456588 (Entity type: Organization)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Autumn Nickelson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, Woodward, OK 73801-3156
- **Phone:** (580) 571-3217 · **Fax:** (580) 256-8609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 170 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (61), Psychiatry (59), Nurse Practitioner (27); 2 practice at this address; [full list](https://npiprofile.com/npi/1750456588/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2022
- **Other identifiers:** Medicaid 100707390A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1750456588) · Data from the CMS NPPES public registry.