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Kyle Edwards , APRN FNP-C

Nurse Practitioner - Family β€’ Clinton, OK

Active NPI 1790260511 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

800 Frisco Ave
Clinton, OK 736013306

Call 5803232700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

800 Frisco Ave

Clinton, OK 736013306

Telephone 5803232700
Fax 5803232276
Organization at the Same NPPES Address or Phone
Robert V Blakeburn Md Pc Facility NPI 1033106448

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Robert V Blakeburn Md Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kyle Edwards has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kyle Edwards as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clinton and Oklahoma

13 active clinicians are listed under Nurse Practitioner - Family with a practice address in Clinton, OK (2,714 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clinton

15.4% of these 13 clinicians have the CMS telehealth indicator.

61.5% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-17
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES OK 81233
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20251209001293

Enrollment State Jurisdiction

OK

PECOS Control ID

9234623125

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Robert V Blakeburn Md Pc

800 Frisco Ave, Clinton, OK 736013306

Phone: 5803232700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Chandra Ake , ARNP

Nurse Practitioner - Family

NPI 1649745522

Advanced Registered Nurse Practitioner

Angela Pope-Bailey , ARNP

Nurse Practitioner - Family

NPI 1629209721

Advanced Registered Nurse Practitioner

Lindsi Walker , ARNP

Nurse Practitioner - Family

NPI 1871696963

Advanced Registered Nurse Practitioner

Ginger Woodall , ARNP-CNP

Nurse Practitioner - Family

NPI 1295036838

ARNPCNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 17, 2025

Registered at 800 FRISCO AVE, CLINTON, OK 736013306 (Tel: 5803232700)

πŸ“
Updated Business Mailing Address December 17, 2025

Registered at 800 FRISCO AVE, CLINTON, OK 736013306 (Tel: 5803232700)

βœ…
NPI Profile Active September 27, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 27, 2018

Registered at 1701 S 4TH ST, CLINTON, OK 736012309 (Tel: 5803312200)

πŸ“
Business Mailing Address (Initial Record) September 27, 2018

Registered at 1701 S 4TH ST, CLINTON, OK 736012309 (Tel: 5803312200)

πŸ‘€
Provider Name / Credentials (Initial Record) September 27, 2018

Recorded as KYLE EDWARDS, APRN FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2018

Nurse Practitioner (license number reported to NPPES: OK 81233)

🟒
Initial NPI Registration & Enumeration September 27, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790260511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2018
Last Update: December 17, 2025
Sole Proprietor: Yes

Other Nurse Practitioner - Family Specialists in Clinton

Mailing Address

800 Frisco Ave

Clinton, OK 736013306

Phone: 5803232700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.