Western Oklahoma Wellness LLC
NPI 1629842000 · Primary Care Clinic/Center · Elk City, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Western Oklahoma Wellness LLC is a Primary Care Clinic/Center organization in Elk City, OK (NPI 1629842000).
Provider details
- NPI number
- 1629842000
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charity Bradshaw, Managing Member(505) 610-4001
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
2 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
- 2023-11-07
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Western Oklahoma Wellness LLC's NPI number?
- Western Oklahoma Wellness LLC's National Provider Identifier (NPI) is 1629842000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Oklahoma Wellness LLC?
- Western Oklahoma Wellness LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Western Oklahoma Wellness LLC located?
- Western Oklahoma Wellness LLC's practice location on file with NPPES is 1710 W 3rd St Ste 101, Elk City, OK 73644-5160.
- What is Western Oklahoma Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Western Oklahoma Wellness LLC is (580) 225-8600.
- Does Western Oklahoma Wellness LLC accept Medicare?
- Western Oklahoma Wellness 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 Western Oklahoma Wellness LLC?
- The authorized official listed on Western Oklahoma Wellness LLC's NPPES record is Charity Bradshaw, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Oklahoma Wellness LLC's NPI active?
- Yes — Western Oklahoma Wellness LLC's NPI (1629842000) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.