Tina Michele Tillison, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

89076 Issued in OK

Practice address

5224 E I 240 Service Rd Ste 201
Oklahoma City, OK 73135-2607

Phone

(405) 608-3800

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tina Michele Price Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
• Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234

Merit-based Incentive Payment System (MIPS)

Final score

83.69 of 100Reported as group

Quality

73.03

Promoting interoperability

100

Improvement activities

40

Cost

72.6

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
• Direct secure messaging: tprice21558@direct.okheart.com
• FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

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.

• Ohh Physicians, LLC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1023087772
  Medicare reassignment Care Compare group NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

• Oklahoma Heart Hospital South LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1841442274
  Care Compare affiliation
• Oklahoma Heart Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1083617005
  Care Compare affiliation

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1154946721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 E I 240 SERVICE RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352607",
            "telephone_number": "405-608-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLISON",
        "first_name": "TINA",
        "middle_name": "MICHELE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89076",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "89076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "PRICE",
            "middle_name": "MICHELE",
            "credential": "APRN-CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Tillinger, RD, LD
• Jon Dalton Tillinghast, MD
• Kimberly Tillis
• Rhonda Lashelle Tillis, BHRS
• Meghann Laurel Tillison, LMFT
• Tammy Lynne Tillman-Lind, LPC-S
• Avonna Tillman
• Deshell Ravette Tillman, APRN-FNP
• Patrick Tillman
• Tamara Lynn Tillman, LMSW, 20807

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.