NIKI S LEWIS-WYATT PAC
NPI 1922008572
Physician Assistant - Medical in Cherokee, OK

Q: What is Niki Lewis-wyatt's NPI number?

The NPI number for Niki Lewis-wyatt is 1922008572. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Niki S Lewis Pac.

Q: What is Niki Lewis-wyatt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Niki Lewis-wyatt enrolled in Medicare?

No. Niki Lewis-wyatt has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Niki Lewis-wyatt was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 July 26, 2005Opted out of Medicare · through Jan 1, 2027

221 S GRAND AVE, CHEROKEE, OK 73728(580) 307-6263(580) 603-8602 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Sep 19, 2021, Jan 20, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Niki S Lewis-wyatt Pac NPPES

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

NIKI S LEWIS-WYATT PAC (NPI 1922008572) is an individual medical provider in Cherokee, Oklahoma, licensed in Oklahoma (758) and active in the NPI registry since July 2005. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922008572

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNIKI S LEWIS-WYATTCredential: PAC

Location Address221 S GRAND AVECherokee, OK 73728-2029

Mailing Address221 S Grand AveCherokee, OK 73728-2029 · (580) 307-6263 · Fax (580) 603-8602

Phone(580) 307-6263

Fax(580) 603-8602

Sole ProprietorNo

Enumeration DateJuly 26, 2005

Last NPPES UpdateDecember 12, 20255 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1922008572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 758

221 S GRAND AVE, Cherokee, OK 73728

Open in Google Maps ↗

Other Names 1

Former Name (1)Niki S Lewis Pac

Other Identifiers 1

Medicaid100132420COK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Niki S Lewis-wyatt Pac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims12 services$19.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

INTEGRIS RURAL HEALTH INC

Family Medicine

221 S GRAND AVE
CHEROKEE, OK 73728

Alfalfa County (580) 596-3516

BASS MEMORIAL BAPTIST HOSPITAL

Family Medicine

221 S GRAND AVE
CHEROKEE, OK 73728

Alfalfa County (580) 596-3516

GRACE DPC

Family Medicine

221 S GRAND AVE
CHEROKEE, OK 73728

Alfalfa County (580) 307-6263

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 Niki Lewis-wyatt's NPI number?

The NPI number for Niki Lewis-wyatt is 1922008572. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Niki S Lewis Pac.

Where is Niki Lewis-wyatt located?

Niki Lewis-wyatt practices at 221 S Grand Ave, Cherokee, OK 73728. The listed phone number is (580) 307-6263.

What is Niki Lewis-wyatt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Niki Lewis-wyatt enrolled in Medicare?

No. Niki Lewis-wyatt has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Niki Lewis-wyatt accept?

Health plans from Mending Health list Niki Lewis-wyatt 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 Niki Lewis-wyatt was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.