ASMG SAND SPRINGS
NPI 1902140056
Clinic/Center - Primary Care in Sand Springs, OK

Active since November 15, 2012CLIA 37D2050059 · Waiver
3905 S HIGHWAY 97, SAND SPRINGS, OK 74063(918) 260-2093(918) 508-7442 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Asmg Sand Springs NPPES

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

ASMG SAND SPRINGS (NPI 1902140056) is a healthcare organization registered as a primary care in Sand Springs, Oklahoma and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Kelly D Ferrell, Manager, as its authorized official.

NPPES Registry Identity

NPI1902140056
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameASMG SAND SPRINGS
Location Address3905 S HIGHWAY 97Sand Springs, OK 74063-3839
Mailing Address3905 S Highway 97Sand Springs, OK 74063-3839 · (918) 260-2093 · Fax (918) 508-7442
Fax(918) 508-7442
Organization SubpartNo
Authorized OfficialKelly D FerrellManager · (918) 260-2075
Enumeration DateNovember 15, 2012
Last NPPES UpdateDecember 3, 2012
✔ NPI 1902140056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3905 S HIGHWAY 97, Sand Springs, OK 74063

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)

Asmg Sand Springs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Asmg Sand Springs, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Interventional Pain Management
NPI 1912030404
7901 S SHERIDAN RD
Tulsa, OK 74133
(918) 710-4112
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1649889080
8316 E 61ST ST STE 101A
Tulsa, OK 74133
(918) 893-3535
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1356968150
4110 S 100TH EAST AVE
Tulsa, OK 74146
(918) 857-7246
✔ PECOS✔ Accepts Medicare14 mi
Interventional Pain Management
NPI 1346336856
4750 S GARNETT RD
Tulsa, OK 74146
(918) 710-4112
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1528501160
4750 S GARNETT RD
Tulsa, OK 74146
(918) 710-4112
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1871246702
100 W 7TH ST
Okmulgee, OK 74447
(918) 759-2200
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1457839490
2230 HIGHWAY 412
Colcord, OK 74338
(918) 422-5750
✔ PECOS✔ Accepts Medicare85 mi

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 37D2050059

Asmg Sand Springs LLC · Sand Springs, OK
Active · expires Nov 18, 2026
CLIA Number37D2050059
Laboratory TypePcp
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorCannen R. Ferrell
Laboratory Phone(918) 260-2093
Laboratory LocationAsmg Sand Springs LLC3905 S Highway 97, Sand Springs, OK 74063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Asmg Sand Springs's NPI number?

The NPI number for Asmg Sand Springs is 1902140056. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Asmg Sand Springs located?

Asmg Sand Springs is located at 3905 S Highway 97, Sand Springs, OK 74063. The listed phone number is (918) 260-2093.

What is Asmg Sand Springs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Asmg Sand Springs enrolled in Medicare?

Yes. Asmg Sand Springs is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Asmg Sand Springs?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Asmg Sand Springs. 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 (5) and Interventional Pain Management (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Asmg Sand Springs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2050059) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Asmg Sand Springs accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Asmg Sand Springs 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 Asmg Sand Springs was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.