STATHEALTH CLINIC
NPI 1912298845
Clinic/Center - Primary Care in Idabel, OK
About Stathealth Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATHEALTH CLINIC (NPI 1912298845) is a healthcare organization registered as a primary care in Idabel, Oklahoma and active in the NPI registry since April 2011. The organization lists Kerri Lea Seymour, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stathealth Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Stathealth Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Stathealth Clinic PLLC's NPI number?
The NPI number for Stathealth Clinic PLLC is 1912298845. It was assigned to this organization in the NPPES registry on April 26, 2011. The provider is doing business as Stathealth Clinic.
Where is Stathealth Clinic PLLC located?
Stathealth Clinic PLLC is located at 805 SE Washington St, Idabel, OK 74745. The listed phone number is (580) 286-1095.
What is Stathealth Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Stathealth Clinic PLLC enrolled in Medicare?
Yes. Stathealth Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stathealth Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Stathealth Clinic PLLC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stathealth Clinic PLLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stathealth Clinic · NPI 1912298845
Primary Care organization in Idabel, Oklahoma. Organization record, active in the CMS NPPES registry since April 26, 2011.
## Identity
- **NPI:** 1912298845 (Entity type: Organization)
- **Enumerated:** April 26, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Stathealth Clinic Pllc
- **Organization subpart:** No
- **Authorized official:** Kerri Seymour, OWNER
## Practice location
- **Address:** 805 SE WASHINGTON ST, Idabel, OK 74745-3331
- **Phone:** (580) 286-1095 · **Fax:** (580) 286-3122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2024
- **Other identifiers:** Medicaid 200344450A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1912298845) · Data from the CMS NPPES public registry.