Kelly White, CNP - Medicare Nurse Practitioner in Bixby, OK

Kelly White, CNP is a medicare enrolled "Nurse Practitioner - Family" in Bixby, Oklahoma. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prophylaxis Healthcare Llc and her current practice location is 11911 S Memorial Dr, Bixby, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 943-3790.

Kelly White is licensed to practice in Oklahoma (license number 96367) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437796711.

Contact Information

Kelly White, CNP
11911 S Memorial Dr,
Bixby, OK 74008-2030
(918) 943-3790
(918) 943-3793

Map and Direction




Provider's Profile

Full NameKelly White
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location11911 S Memorial Dr, Bixby, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly White graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1437796711
  • Provider Enumeration Date: 12/05/2019
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496149825
  • Enrollment ID: I20220301002716

Medical Identifiers

Medical identifiers for Kelly White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437796711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 96367 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prophylaxis Healthcare Llc307278428919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly White allows following entities to bill medicare on her behalf.
Entity NameProphylaxis Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538453923
PECOS PAC ID: 3072784289
Enrollment ID: O20110920000575
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210505002298
Entity NameComprehensive Rehab Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710529771
PECOS PAC ID: 6800220682
Enrollment ID: O20220218000610

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly White is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly White, CNP
Po Box 334,
Bixby, OK 74008-0334

Ph: (918) 970-4719
Kelly White, CNP
11911 S Memorial Dr,
Bixby, OK 74008-2030

Ph: (918) 943-3790

Reviews and Comments


Nurse Practitioner Nurses in Bixby, OK

Mitzi Blanchard, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7333 E. 121st St S, Suite 200, Bixby, OK 74008
Phone: 918-403-7140    Fax: 918-856-5392
Jonathan David Ybarra,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11911 S Memorial Dr, Bixby, OK 74008
Phone: 918-943-3790    Fax: 918-943-3793
Evan Sheets, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7396 E 125th Pl S, Bixby, OK 74008
Phone: 918-740-4490    
Cheryl Beth Hynes, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11911 S Memorial Dr, Bixby, OK 74008
Phone: 918-497-3700    Fax: 918-497-3717

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.