Black Oak Clinic LLC
NPI 1366954661 · Clinic/Center · Broken Bow, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Oak Clinic LLC is a Clinic/Center organization in Broken Bow, OK (NPI 1366954661).
Provider details
- NPI number
- 1366954661
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Megan Black, Owner/Nurse Practitioner(580) 584-3099
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-26
- Last updated
- 2018-08-07
Frequently asked questions
- What is Black Oak Clinic LLC's NPI number?
- Black Oak Clinic LLC's National Provider Identifier (NPI) is 1366954661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Oak Clinic LLC?
- Black Oak Clinic LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Black Oak Clinic LLC located?
- Black Oak Clinic LLC's practice location on file with NPPES is 110 W 1st St, Broken Bow, OK 74728.
- What is Black Oak Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Oak Clinic LLC is (580) 584-3099.
- Does Black Oak Clinic LLC accept Medicare?
- Black Oak Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Oak Clinic LLC?
- The authorized official listed on Black Oak Clinic LLC's NPPES record is Megan Black, Owner/Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Oak Clinic LLC's NPI active?
- Yes — Black Oak Clinic LLC's NPI (1366954661) is active in the NPPES registry as of the last update on 2018-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.