NPIMap

Individual provider Active NPI

Michelle Tull, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1073066023
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
82050 Issued in OK
Practice address
800 NE 10TH St
Oklahoma City, OK 73104-5418
Phone
(405) 271-3402
NPI assigned
Jul 26, 2016
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 82050 OK Primary

Addresses

Primary practice location

800 NE 10TH St
Oklahoma City, OK 73104-5418

Mailing address

15308 Elm Creek Rd
Oklahoma City, OK 73165-7010
Phone (405) 271-3402

Other practice location 1

4150 S Harvard Ave Ste G1
Tulsa, OK 74135-2614
Phone (918) 863-2731

Other practice location 2

14000 N Portland Ave Ste 204
Oklahoma City, OK 73134-4025
Phone (405) 768-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831002098 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 9133415110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Cancer and Blood Specialists LLCGroup PAC ID 4981874849, 12 clinicians

Practice addresses (Care Compare)

11100 Hefner Pointe Dr
Suite a
Oklahoma City, OK 73120-5049
Phone (405) 752-0871

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
82050OKMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Infusion Solutions LLC CurrentSince Mar 18, 2024 Accepting new patients
Mosaic Infusion Solutions LLC Current Accepting new patients
Oklahoma Cancer and Blood Specialists, LLC CurrentSince Sep 2, 2025 Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Mar 18, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

6912 S Quentin St
Ste 50
Englewood, CO 80112

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

11100 Hefner Pointe Dr
Ste A
Oklahoma City, OK 73120
Phone (405) 752-0871

14000 N Portland Ave
Ste 204
Oklahoma City, OK 73134
Phone (405) 768-1060

4150 S Harvard Ave
Ste G1
Tulsa, OK 74135
Phone (918) 863-2731

215 N Illinois St
Weatherford, OK 73096
Phone (405) 752-0871

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1073066023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15308 ELM CREEK RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731657010",
            "telephone_number": "405-271-3402",
            "fax_number": "405-271-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045418",
            "telephone_number": "405-271-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 S Harvard Ave Ste G1",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352614",
            "country_code": "US",
            "telephone_number": "918-863-2731",
            "fax_number": "833-470-1447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14000 N Portland Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731344025",
            "country_code": "US",
            "telephone_number": "405-768-1060",
            "fax_number": "833-470-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULL",
        "first_name": "MICHELLE",
        "credential": "ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "82050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.