Edward Timothy Okelley MD PC
NPI 1407553936 · Primary Care Nurse Practitioner · Texarkana, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Timothy Okelley MD PC is a Primary Care Nurse Practitioner organization in Texarkana, TX (NPI 1407553936).
Provider details
- NPI number
- 1407553936
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jonathan Fluhart, Ceo(972) 632-9642
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
Other names (DBA / former)
- Doing business as
- Pallicare
Registry dates
- Enumerated
- 2023-02-15
- Last updated
- 2023-02-15
- Certified
- 2023-02-08
Frequently asked questions
- What is Edward Timothy Okelley MD PC's NPI number?
- Edward Timothy Okelley MD PC's National Provider Identifier (NPI) is 1407553936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward Timothy Okelley MD PC?
- Edward Timothy Okelley MD PC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edward Timothy Okelley MD PC located?
- Edward Timothy Okelley MD PC's practice location on file with NPPES is 5803 Stoneridge Dr, Texarkana, TX 75503-1461.
- What is Edward Timothy Okelley MD PC's phone number?
- The practice phone number listed in the NPPES registry for Edward Timothy Okelley MD PC is (972) 632-9642.
- Does Edward Timothy Okelley MD PC accept Medicare?
- Edward Timothy Okelley MD PC 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 Edward Timothy Okelley MD PC?
- The authorized official listed on Edward Timothy Okelley MD PC's NPPES record is Jonathan Fluhart, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward Timothy Okelley MD PC's NPI active?
- Yes — Edward Timothy Okelley MD PC's NPI (1407553936) is active in the NPPES registry as of the last update on 2023-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.