Michelle Renee Sturdivant, NP - Medicare Nurse Practitioner in Moore, OK

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Michelle Renee Sturdivant, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Moore, Oklahoma. Her current practice location is 616 Sw 6th St, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 595-6969.

Michelle Renee Sturdivant is licensed to practice in Oklahoma (license number 100094) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154873743.

Contact Information

Michelle Renee Sturdivant, NP
616 Sw 6th St,
Moore, OK 73160-2511
(405) 595-6969
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Renee Sturdivant
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location616 Sw 6th St, Moore, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154873743
  • Provider Enumeration Date: 10/29/2016
  • Last Update Date: 10/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4183907579
  • Enrollment ID: I20170209000208

Medical Identifiers

Medical identifiers for Michelle Renee Sturdivant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154873743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 100094 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Renee Sturdivant allows following entities to bill medicare on her behalf.
Entity NameCarnegie Tri-county Municipal Hospital Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275657017
PECOS PAC ID: 6800835935
Enrollment ID: O20050429000480
Entity NameCarnegie Tri-county Municipal Hospital Management Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043323447
PECOS PAC ID: 6800835935
Enrollment ID: O20061104000625
Entity NameMangum City Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033635263
PECOS PAC ID: 6305119942
Enrollment ID: O20181020000126
Entity NameWoundynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114535333
PECOS PAC ID: 7719301449
Enrollment ID: O20200728000660

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Renee Sturdivant is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Renee Sturdivant, NP
616 Sw 6th St,
Moore, OK 73160-2511

Ph: (405) 595-6969		Michelle Renee Sturdivant, NP
616 Sw 6th St,
Moore, OK 73160-2511

Ph: (405) 595-6969

Reviews and Comments


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Phone: 888-611-4429    Fax: 888-611-4429
My Nguyen, APRN CNP
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Phone: 405-488-0750    Fax: 405-237-7512

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.