Individual provider Active NPI

Spencer Elijah Wopart, APRN, CNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1194322719
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
121897 Issued in OK
Practice address
9322 E 41St St
Tulsa, OK 74145-3721
Phone
(539) 215-5609
Fax
(539) 233-2480
NPI assigned
Oct 6, 2020
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 121897 OK Primary

Addresses

Primary practice location

9322 E 41St St
Tulsa, OK 74145-3721

Mailing address

1701 Renaissance Blvd
Edmond, OK 73013-3086
Phone (405) 844-4978

Other practice location 1

9311 S Mingo Rd
Tulsa, OK 74133-5702
Phone (918) 307-1613

Other practice location 2

8510 N 123rd East Ave
Owasso, OK 74055-2149
Phone (918) 307-1613

Other practice location 3

224 SE DeBell Ave
Bartlesville, OK 74006-2305
Phone (918) 307-1613

Other practice location 4

6802 S Olympia Ave Ste 150
Tulsa, OK 74132-1852
Phone (918) 307-1613

Other practice location 5

1727 S Utica Ave
Tulsa, OK 74104-5317
Phone (918) 307-1613

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
I20210111002779 OK Practitioner - Nurse Practitioner 1658784681 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Arthritis Center, P.C.Group PAC ID 0446239743, 45 clinicians

Practice addresses (Care Compare)

9322 E 41St St
Tulsa, OK 74145-3721
Phone (539) 215-5609

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121897OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L and M Investments LLC CurrentSince Dec 30, 2022 Accepting new patients
Neuropathy Treatment Clinic of Oklahoma LLC CurrentSince Dec 30, 2022 Accepting new patients
Oklahoma Arthritis Center, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Allergy Clinic of Tulsa, Inc. CurrentSince Oct 24, 2020 Accepting new patients

Locations

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978

6001 NW 139th St
Oklahoma City, OK 73142
Phone (405) 271-4646

8510 N 123rd East Ave
Owasso, OK 74055
Phone (918) 272-1138

1727 S Utica Ave
Tulsa, OK 74104
Phone (918) 307-1613

4636 S Harvard Ave
Ste 102
Tulsa, OK 74135
Phone (918) 574-6470

9311 S Mingo Rd
Tulsa, OK 74133
Phone (918) 307-1613

9322 E 41st St
Tulsa, OK 74145
Phone (918) 628-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1194322719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133086",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9322 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741453721",
            "telephone_number": "539-215-5609",
            "fax_number": "539-233-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9311 S Mingo Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335702",
            "country_code": "US",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8510 N 123rd East Ave",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740552149",
            "country_code": "US",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 SE DeBell Ave",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740062305",
            "country_code": "US",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6802 S Olympia Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321852",
            "country_code": "US",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045317",
            "country_code": "US",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOPART",
        "first_name": "SPENCER",
        "middle_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "121897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.