Individual provider Active NPI

Julie Ann Hanselman, APRN-CNP

  • Gerontology Nurse Practitioner
  • Coweta, OK
National Provider Identifier
1174288476
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
200503 Issued in OK
Practice address
11222 S 285TH East Ave
Coweta, OK 74429-3314
Phone
(918) 695-4942
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 200503 OK Primary

Addresses

Primary practice location

11222 S 285TH East Ave
Coweta, OK 74429-3314

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

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
I20211228000128 OK Practitioner - Nurse Practitioner 5092106153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

10020 E 91St St
Pam Rehabilitation Hospital of Tuls
Tulsa, OK 74133-5835
Phone (918) 940-8801

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Integrated Rehab Consultants LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

1709 S Main St
Broken Arrow, OK 74012
Phone (918) 251-2626

1306 E College St
Broken Arrow, OK 74012
Phone (918) 251-3200

424 N Date Ave
Broken Arrow, OK 74012
Phone (918) 251-5343

2300 W Broadway St
Collinsville, OK 74021
Phone (918) 371-2545

436 S Joe St
Nowata, OK 74048
Phone (908) 273-2236

5701 W Britton Rd
Oklahoma City, OK 73132
Phone (405) 773-8900

1307 R D Miller Dr
Okmulgee, OK 74447
Phone (918) 756-5611

1320 NE 1st Pl
Pryor, OK 74361
Phone (918) 825-5311

210 S Adair St
Pryor, OK 74361
Phone (918) 825-4455

1165 Brenner Rd
Sapulpa, OK 74066
Phone (918) 224-0600

310 W Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6012

318 S Cherry St
Skiatook, OK 74070
Phone (918) 396-2149

2425 S Memorial Dr
Tulsa, OK 74129
Phone (918) 628-0932

10912 E 14th St
Tulsa, OK 74128
Phone (918) 438-2440

10020 E 91st St
Tulsa, OK 74133
Phone (918) 515-0297

8555 S Lewis Ave
Tulsa, OK 74137
Phone (918) 298-3652

3701 N Martin Luther King Jr Blvd
Tulsa, OK 74106
Phone (918) 425-3583

7707 S Memorial Dr
Tulsa, OK 74133
Phone (918) 232-0305

8720 S 101st East Ave
Tulsa, OK 74133
Phone (918) 965-0101

5170 S Vandalia Ave
Tulsa, OK 74135
Phone (405) 312-8050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1174288476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11222 S 285TH EAST AVE",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744293314",
            "telephone_number": "918-695-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELMAN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "200503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coweta, OK

Sources for this page

Verify at the official NPI Registry.