Individual provider Active NPI

Blythe H Zielenski, P.A.

  • Medical Physician Assistant
  • Bartlesville, OK
National Provider Identifier
1124094859
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1032 Issued in OK
Practice address
3400 Frank Phillips
Suite 702
Bartlesville, OK 74006
Phone
(918) 331-2500
Fax
(918) 331-2506
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-00943 KS
Medical Physician Assistant 363AM0700X 1032 OK Primary

Addresses

Primary practice location

3400 Frank Phillips
Suite 702
Bartlesville, OK 74006

Mailing address

6502 S Yale Ave Ste 3410
Tulsa, OK 74136-8329
Phone (918) 499-4855

Other practice location 1

505 SE Washington Blvd
Bartlesville, OK 74006-8232
Phone (918) 524-9760

Other identifiers 2

IdentifierTypeStateIssuer
103732OtherKSBLUE CROSS BLUE SHIELD
200258890AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050108000008 OK Practitioner - Physician Assistant 3476501271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwise LLCGroup PAC ID 8820410970, 33 clinicians

Practice addresses (Care Compare)

1095 N Aspen Ave
Broken Arrow, OK 74012-9641
Phone (918) 727-2790

11495 S State Hwy 51
Coweta, OK 74429-7138
Phone (918) 727-2780

11760 E 86TH St N
Owasso, OK 74055-2533
Phone (918) 998-9960

Hospital & facility affiliations

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00943KSMDMedical Physician Assistant
1032OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 1, 2014 Accepting new patients
Medwise LLC CurrentSince May 14, 2021 Accepting new patients
St. John Physicians, Inc. Family Medicine Past 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

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

1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2831

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

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

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2831

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: blythe.zielenski@1034136124915716.direct.elationemr.com
  • Direct secure messaging: blythe.zielenski.1@21352.direct.athenahealth.com
  • Direct secure messaging: blythe.zielenski@direct.stjohnhealthsystem.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1124094859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 S YALE AVE STE 3410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368329",
            "telephone_number": "918-499-4855",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FRANK PHILLIPS",
            "address_2": "SUITE 702",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-331-2500",
            "fax_number": "918-331-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 SE Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740068232",
            "country_code": "US",
            "telephone_number": "918-524-9760",
            "fax_number": "918-876-5347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELENSKI",
        "first_name": "BLYTHE",
        "middle_name": "H",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00943",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "103732",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258890A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.