Individual provider Active NPI

Stanley Tallon Jr., APRN

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1114354727
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
79573 Issued in OK
Practice address
1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041
Phone
(918) 579-5749
Fax
(918) 579-5762
NPI assigned
Sep 28, 2013
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CNP231290 ME
Acute Care Nurse Practitioner 363LA2100X 79573 OK Primary

Addresses

Primary practice location

1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041

Mailing address

1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041
Phone (918) 579-5749

Other practice location 1

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 661-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, ME2 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
I20140328001506 OK Practitioner - Nurse Practitioner 6204067523 Reassigns benefits to 6 organizations
I20231116001190 ME Practitioner - Nurse Practitioner 6204067523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians
Oklahoma Infectious Disease Specialists, LLCGroup PAC ID 4183011026, 3 clinicians
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 283-7000

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300

111 N Bailey St
Pryor, OK 74361-4201
Phone (918) 825-1600

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-1000

1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

200 2ND Ave SW
Integris Brap Hospitalists GRP
Miami, OK 74354-6830
Phone (918) 542-6611

6901 S Olympia Ave
Tulsa Spine and Specialty Hospital
Tulsa, OK 74132-1843
Phone (918) 388-5701

8801 S 101St E Ave
Hillcrest Hospital South
Tulsa, OK 74133-5716
Phone (919) 294-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Improvement activities
40
Cost
67.46

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
66.46 of 100Reported as group
Improvement activities
20
Cost
68.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 11, 2023 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Post Acute Physicians, LLC CurrentSince Jul 1, 2022 Accepting new patients
Mainehealth CurrentSince Oct 11, 2023 Accepting new patients
Oklahoma Infectious Disease Specialists, LLC CurrentSince May 31, 2024 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jan 18, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Thi Specialists LLC CurrentSince May 1, 2020 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1000 W Boise Cir
Fl 3
Broken Arrow, OK 74012
Phone (918) 682-6161

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856

Interoperability endpoints

  • Direct secure messaging: stallon119967@ahs.direct-ci.com
  • Direct secure messaging: stallon601981@direct.mmc.mainehealth.org

Organizations & group practices 9

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1114354727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044041",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044041",
            "telephone_number": "918-579-5749",
            "fax_number": "918-579-5762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-661-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLON",
        "first_name": "STANLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP231290",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "79573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.