ADVANCED UROLOGY AND WELLNESS CENTER OF MUSKOGEE PLLC
NPI 1972796274
Specialist in Muskogee, OK

Q: What is Advanced Urology And Wellness Center Of Muskogee PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 21, 2007CLIA 37D1011071 · Microscopy

4200 W OKMULGEE ST, MUSKOGEE, OK 74401(918) 683-5025(918) 913-9703 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Advanced Urology And Wellness Center Of Muskogee Pllc NPPES

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

ADVANCED UROLOGY AND WELLNESS CENTER OF MUSKOGEE PLLC (NPI 1972796274) is a healthcare organization registered as a specialist in Muskogee, Oklahoma and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through June 26, 2027 and lists Jewell Lee Daniels, Director, as its authorized official.

NPPES Registry Identity

NPI1972796274

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameADVANCED UROLOGY AND WELLNESS CENTER OF MUSKOGEE PLLC

Location Address4200 W OKMULGEE STMuskogee, OK 74401-4646

Mailing Address4200 W Okmulgee StMuskogee, OK 74401-4646 · (918) 683-5025 · Fax (918) 913-9703

Phone(918) 683-5025

Fax(918) 913-9703

Organization SubpartNo

Authorized OfficialJewell Lee DanielsDirector · (918) 683-5025

Enumeration DateAugust 21, 2007

Last NPPES UpdateApril 16, 2013

✔ NPI 1972796274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OK · 23095

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4200 W OKMULGEE ST, Muskogee, OK 74401

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Other Identifiers 2

Medicare PIN400522307OK

Medicaid200044610AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Urology And Wellness Center Of Muskogee Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOklahomaEnrollment IDO20040408000189Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Urology And Wellness Center Of Muskogee PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jewell Daniels, MD

Urology

NPI 1720049364

4200 W OKMULGEE ST
Muskogee, OK 74401

(918) 683-5025

✔ PECOS✔ Accepts MedicareSame address

Caysie Garza, APRN FNP-C LLC

Nurse Practitioner

NPI 1497138994

4200 W OKMULGEE ST
Muskogee, OK 74401

(918) 683-5025

✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 37D1011071

Advance Urology And Wellness Center Of Muskogee · Muskogee, OK

Active · expires Jun 26, 2027

CLIA Number37D1011071

Laboratory TypePhysician Office

Certificate Effective DateJune 27, 2025

Certificate Expiration DateJune 26, 2027

Laboratory DirectorJewell L. Daniels

Laboratory Phone(918) 683-5025

Laboratory LocationAdvance Urology And Wellness Center Of Muskogee4200 W Okmulgee, Muskogee, OK 74401

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Advanced Urology And Wellness Center Of Muskogee PLLC's NPI number?

The NPI number for Advanced Urology And Wellness Center Of Muskogee PLLC is 1972796274. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is Advanced Urology And Wellness Center Of Muskogee PLLC located?

Advanced Urology And Wellness Center Of Muskogee PLLC is located at 4200 W Okmulgee St, Muskogee, OK 74401. The listed phone number is (918) 683-5025.

What is Advanced Urology And Wellness Center Of Muskogee PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Advanced Urology And Wellness Center Of Muskogee PLLC enrolled in Medicare?

Yes. Advanced Urology And Wellness Center Of Muskogee PLLC is registered in the Medicare PECOS enrollment system.

When is Advanced Urology And Wellness Center Of Muskogee PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Urology And Wellness Center Of Muskogee PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Urology And Wellness Center Of Muskogee PLLC, in Nurse Practitioner and Urology. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Urology And Wellness Center Of Muskogee PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D1011071) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Urology And Wellness Center Of Muskogee PLLC was last updated on April 16, 2013. 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.