VARIETY CARE AT PETE WHITE HEALTH AND WELLNESS CENTER
NPI 1770826661
Clinic/Center - Federally Qualified Health Center (FQHC) in Oklahoma City, OK

Active since March 29, 2013
4021 S WALKER AVE STE 201, OKLAHOMA CITY, OK 73109(405) 632-6688(405) 595-3247 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2020, Nov 2, 2018, Apr 23, 2018 (3 updates tracked since 2018).

About Variety Care At Pete White Health And Wellness Center NPPES

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

VARIETY CARE AT PETE WHITE HEALTH AND WELLNESS CENTER (NPI 1770826661) is a healthcare organization registered as a federally qualified health center (fqhc) in Oklahoma City, Oklahoma and active in the NPI registry since March 2013. The organization lists Tim Reddout, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770826661
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVARIETY CARE, INC.
Location Address4021 S WALKER AVE STE 201Oklahoma City, OK 73109-6972
Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688 · Fax (844) 689-9671
Fax(405) 595-3247
Organization SubpartYesParent: Variety Care, Inc
Authorized OfficialTim ReddoutCfo · (405) 632-6688
Enumeration DateMarch 29, 2013
Last NPPES UpdateFebruary 26, 20203 updates tracked since enumeration
✔ NPI 1770826661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4021 S WALKER AVE STE 201, Oklahoma City, OK 73109

Other Names 1

Doing Business AsVariety Care At Pete White Health And Wellness Center

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)

Variety Care At Pete White Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20130912000234Part A · Federally Qualified Health Center (FQHC)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

117

Medicare enrollment records show 117 clinicians reassign Medicare billing to Variety Care At Pete White Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 91 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner44
Pediatric Medicine15
Dentist13
Family Practice10
Obstetrics/Gynecology10
Mental Health Counselor9
Psychiatry4
Clinical Social Worker3
6 other specialties9

Nearest to this location (20)

See all 117
Registered Dietitian or Nutrition Professional
NPI 1366842676
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1508489642
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1720659592
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1871143206
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1407346315
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Pediatric Medicine
NPI 1003957846
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1962797019
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS✔ Accepts Medicare0.3 mi
Dentist
NPI 1043443013
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1043187065
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Mental Health Counselor
NPI 1871612911
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS✔ Accepts Medicare0.3 mi
Optometry
NPI 1073705471
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1922348036
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1427286145
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1740780162
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1205466240
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1083928303
500 SW 44TH ST
Oklahoma City, OK 73109
(405) 632-6688
✔ PECOS0.3 mi
Obstetrics/Gynecology
NPI 1194757963
1025 STRAKA TER
Oklahoma City, OK 73139
(405) 632-6688
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1760936033
1025 STRAKA TER
Oklahoma City, OK 73139
(405) 632-6688
✔ PECOS2.6 mi
Family Practice
NPI 1437354479
1025 STRAKA TER
Oklahoma City, OK 73139
(405) 632-6688
✔ PECOS✔ Accepts Medicare2.6 mi
Dentist
NPI 1508505280
1025 STRAKA TER
Oklahoma City, OK 73139
(405) 632-6688
✔ PECOS2.6 mi
See all 117 clinicians

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 Variety Care, Inc.'s NPI number?

The NPI number for Variety Care, Inc. is 1770826661. It was assigned to this organization in the NPPES registry on March 29, 2013. The provider is doing business as Variety Care At Pete White Health And Wellness Center.

Where is Variety Care, Inc. located?

Variety Care, Inc. is located at 4021 S Walker Ave Ste 201, Oklahoma City, OK 73109. The listed phone number is (405) 632-6688.

What is Variety Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Variety Care, Inc. enrolled in Medicare?

Yes. Variety Care, Inc. is registered in the Medicare PECOS enrollment system.

When is Variety Care, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oklahoma, Federally Qualified Health Center (FQHC)) is due for revalidation by February 28, 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 Variety Care, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 117 clinicians in 14 Medicare specialties reassign their Medicare billing to Variety Care, Inc.. 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 Nurse Practitioner (44), Pediatric Medicine (15) and Dentist (13). Of these, 91 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Variety Care, Inc. 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 1 other insurer list Variety Care, Inc. 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 Variety Care, Inc. was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.