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NPI 1154030724ActiveOrganization· Nurse Practitioner, Primary Care· Crescent, OK
Nurse Practitioner, Primary Care in Crescent, Oklahoma, registered in NPPES in November 2022. The authorized official on file is Shannon Dunn, DNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154030724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2022 |
| Last updated in NPPES | Dec 8, 2025 |
| Certified by provider | Dec 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|