Pauls Valley Family Healthcare Aprn Fnp-Bc LLC
NPI 1407553597 · Primary Care Clinic/Center · Pauls Valley, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pauls Valley Family Healthcare Aprn Fnp-Bc LLC is a Primary Care Clinic/Center organization in Pauls Valley, OK (NPI 1407553597).
Provider details
- NPI number
- 1407553597
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scotty Jackson, Nurse Practitioner / Owner(405) 207-9238
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
3 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
- 2023-02-09
- Last updated
- 2023-04-20
- Certified
- 2023-04-20
Frequently asked questions
- What is Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's NPI number?
- Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's National Provider Identifier (NPI) is 1407553597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pauls Valley Family Healthcare Aprn Fnp-Bc LLC?
- Pauls Valley Family Healthcare Aprn Fnp-Bc LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pauls Valley Family Healthcare Aprn Fnp-Bc LLC located?
- Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's practice location on file with NPPES is 34550 Airline Rd, Pauls Valley, OK 73075-9337.
- What is Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's phone number?
- The practice phone number listed in the NPPES registry for Pauls Valley Family Healthcare Aprn Fnp-Bc LLC is (405) 207-9238.
- Does Pauls Valley Family Healthcare Aprn Fnp-Bc LLC accept Medicare?
- Pauls Valley Family Healthcare Aprn Fnp-Bc 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 Pauls Valley Family Healthcare Aprn Fnp-Bc LLC?
- The authorized official listed on Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's NPPES record is Scotty Jackson, Nurse Practitioner / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's NPI active?
- Yes — Pauls Valley Family Healthcare Aprn Fnp-Bc LLC's NPI (1407553597) is active in the NPPES registry as of the last update on 2023-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.