Individual provider Active NPI

Courtney Marie Hale, APRN-FNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1073774279
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0077451 Issued in OK
Practice address
2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642
Phone
(918) 747-5200
Fax
(918) 588-0290
NPI assigned
Jun 19, 2008
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 174976 GA
Family Nurse Practitioner 363LF0000X R0077451 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 510
Tulsa, OK 74104-5642

Mailing address

1515 N Harvard Ave
Ste E
Tulsa, OK 74115-4957
Phone (918) 832-6049

Other identifiers 1

IdentifierTypeStateIssuer
200208240AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090429000165 OK Practitioner - Nurse Practitioner 0648328724 Reassigns benefits to 5 organizations
I20240626003385 TX Practitioner - Nurse Practitioner 0648328724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwise LLCGroup PAC ID 8820410970, 33 clinicians

Practice addresses (Care Compare)

2550 N 9TH St
Broken Arrow, OK 74012-2897
Phone (918) 727-2850

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
174976GAMDFamily Nurse Practitioner
R0077451OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St John Urgent Care Clinics Inc CurrentSince Mar 1, 2010 Accepting new patients
St. John Physicians, Inc CurrentSince Jun 1, 2010 Accepting new patients
St. John Physicians, Inc. CurrentSince Jun 1, 2010 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Medwise LLC CurrentSince Jan 10, 2023 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 18, 2024 Accepting new patients
Medwise LLC CurrentSince Jan 10, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 18, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 18, 2024 Accepting new patients

Locations

505 SE Washington Blvd
#B
Bartlesville, OK 74006
Phone (918) 524-9760

14777 S Memorial Dr
Bixby, OK 74008
Phone (918) 727-2820

1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2790

2550 N 9th St
Broken Arrow, OK 74012
Phone (918) 727-2850

11495 S State Highway 51
Coweta, OK 74429
Phone (918) 727-2780

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

11760 E 86th St N
Owasso, OK 74055
Phone (918) 272-2829

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2790

32 W Taft Ave
Sapulpa, OK 74066
Phone (918) 727-2790

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

1515 N Harvard Ave
Ste E
Tulsa, OK 74115
Phone (918) 832-6049

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

6336 E Admiral Pl
Tulsa, OK 74115
Phone (918) 727-2830

8105 E 68th St
Tulsa, OK 74133
Phone (918) 727-2810

Dept 1467
Tulsa, OK 74182

1520 SW 1st St
Wagoner, OK 74467
Phone (918) 727-2790

Interoperability endpoints

  • Direct secure messaging: courtney.hale.1@21352.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1073774279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARVARD AVE",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741154957",
            "telephone_number": "918-832-6049",
            "fax_number": "918-832-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045642",
            "telephone_number": "918-747-5200",
            "fax_number": "918-588-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "174976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0077451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200208240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.