KACY LYNN ADERHOLD APRN-CNS
NPI 1962887653
Nurse Practitioner in Oklahoma City, OK

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
1000 N LINCOLN BLVD, OKLAHOMA CITY, OK 73104(405) 271-1000(000) 000-0000 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kacy Lynn Aderhold Aprn-cns NPPES

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

KACY LYNN ADERHOLD APRN-CNS (NPI 1962887653) is an individual nurse practitioner in Oklahoma City, Oklahoma, licensed in Oklahoma (85889) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962887653
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKACY LYNN ADERHOLDCredential: APRN-CNS
Location Address1000 N LINCOLN BLVDOklahoma City, OK 73104-3252
Mailing Address1000 N Lincoln BlvdOklahoma City, OK 73104-3252 · (405) 271-1000 · Fax (000) 000-0000
Fax(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 23, 2015
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1962887653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OK · 85889
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 N LINCOLN BLVD, Oklahoma City, OK 73104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kacy Lynn Aderhold Aprn-cns is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113236043
PECOS Enrollment IDI20210330000576
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services65 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
98 services60 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
72 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers15 claims79 services$7.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers355 claims357 services$190.89 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 20

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

Neurological Surgery
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Internal Medicine (Gastroenterology)
1000 N LINCOLN BLVD, SUITE 210
OKLAHOMA CITY, OK 73104
Neurological Surgery
1000 N LINCOLN BLVD, STE 400
OKLAHOMA CITY, OK 73104
Physician Assistant (Surgical)
1000 N LINCOLN BLVD, SUITE 400
OKLAHOMA CITY, OK 73104
Neurological Surgery
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Specialist
1000 N LINCOLN BLVD, SUITE 300
OKLAHOMA CITY, OK 73104
Internal Medicine (Medical Oncology)
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Pediatrics)
1000 N LINCOLN BLVD, STE 400
OKLAHOMA CITY, OK 73104

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 Kacy Aderhold's NPI number?

The NPI number for Kacy Aderhold is 1962887653. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Kacy Aderhold located?

Kacy Aderhold practices at 1000 N Lincoln Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-1000.

What is Kacy Aderhold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kacy Aderhold enrolled in Medicare?

Yes. Kacy Aderhold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kacy Aderhold accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kacy Aderhold 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.

Is Kacy Aderhold affiliated with any hospitals?

According to CMS data, Kacy Aderhold is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Kacy Aderhold was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.