Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly McCoy, APRN

Individual provider Family Nurse Practitioner · NPI 1629773155

Kimberly McCoy, APRN is a Nurse Practitioner in Edmond, Oklahoma. Qualified in 2021, 5 years ago. Practices with Deer Creek Family Healthcare and Wellness Clinic LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3801 NW 166th St Ste 4
Edmond, OK 73012-9279
Phone: (405) 359-1122
Fax: (405) 359-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 212267 (OK)

Record details

NPI number1629773155
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address3801 Nw 166th St Ste 4, Edmond, OK 73012-9279

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Deer Creek Family Healthcare And Wellness Clinic Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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