SHANDRA KIDD
NPI 1881339919
Nurse Practitioner - Family in Oklahoma City, OK

Q: What is Shandra Kidd's NPI number?

The NPI number for Shandra Kidd is 1881339919. It was assigned to this individual provider in the NPPES registry on May 3, 2022. The provider is also known as Shandi Kidd.

Q: What is Shandra Kidd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shandra Kidd was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 03, 2022PECOS Enrolled

921 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 456-1000 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 30, 2022, May 3, 2022 (2 updates tracked since 2022).

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About Shandra Kidd NPPES

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

SHANDRA KIDD (NPI 1881339919) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (207672) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881339919

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANDRA KIDD

Location Address921 NE 13TH STOklahoma City, OK 73104-5007

Mailing Address921 Ne 13th StOklahoma City, OK 73104-5007 · (405) 550-6006

Phone(405) 456-1000

Sole ProprietorNo

Enumeration DateMay 3, 2022

Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1881339919 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 · 207672

921 NE 13TH ST, Oklahoma City, OK 73104

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Other Names 1

Other Name (5)Shandi Kidd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shandra Kidd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER KATHLEEN HINKLE MD

Radiology (Diagnostic Radiology)