Individual provider Active NPI

Kyla Christin Jo Cowen, APRN

  • Family Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1124497573
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106977 Issued in OK
Practice address
3460 E Frank Phillips Blvd
Bartlesville, OK 74006-2406
Phone
(918) 332-3600
Fax
(918) 332-3613
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106977 OK Primary

Addresses

Primary practice location

3460 E Frank Phillips Blvd
Bartlesville, OK 74006-2406

Mailing address

3460 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 332-3600

Other names 1

  • Kyla Christin Jo Wittner Former name

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
I20151116002181 OK Practitioner - Nurse Practitioner 2365752672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pawhuska Hospital IncGroup PAC ID 7012906548, 13 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1101 E 15TH St
Pawhuska, OK 74056-1901
Phone (918) 287-3232

1109 E 15TH St
Pawhuska Family Medical Clinic
Pawhuska, OK 74056-1901
Phone (918) 287-5151

1705 E 19TH St
Tulsa, OK 74104-5410

2802 Lynn Ave
Pawhuska, OK 74056-2021

3550 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 331-2294

Hospital & facility affiliations

  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Pawhuska Hospital, Inc Hospital, Pawhuska, OK, CCN 371309
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106977OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pawhuska Hospital, Inc. Current Accepting new patients
St. John Physicians, Inc CurrentSince Oct 26, 2015 Accepting new patients
Pawhuska Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
St. John Physicians, Inc. CurrentSince Oct 26, 2015 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Seiling Municipal Hospital Authority PastSince Jul 1, 2025 Accepting new patients

Locations

3460 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 332-3600

1101 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1109 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

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

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

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701

Organizations & group practices 6

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 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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1124497573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 E FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-332-3600",
            "fax_number": "918-332-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 E FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062406",
            "telephone_number": "918-332-3600",
            "fax_number": "918-332-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWEN",
        "first_name": "KYLA",
        "middle_name": "CHRISTIN JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "WITTNER",
            "middle_name": "CHRISTIN JO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.