Individual provider Active NPI

Margie Sue Bauman, NP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1235213182
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0062949 Issued in OK
Practice address
9001 S 101St East Ave
Ste 280
Tulsa, OK 74133-5708
Phone
(918) 459-8824
Fax
(918) 307-2239
NPI assigned
Oct 25, 2006
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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 R0062949 OK Primary

Addresses

Primary practice location

9001 S 101St East Ave
Ste 280
Tulsa, OK 74133-5708

Mailing address

9001 S 101St East Ave
Ste 280
Tulsa, OK 74133-5708
Phone (918) 459-8824

Other identifiers 2

IdentifierTypeStateIssuer
76.0639661-0009OtherOKPVN BCBSOK
100198130AMedicaidOK

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
I20060110000366 OK Practitioner - Nurse Practitioner 3678592425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

9001 S 101St E Ave
Suite 280
Tulsa, OK 74133-5711
Phone (918) 392-5411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0062949OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Nurse Practitioner CurrentSince Mar 27, 2017 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Mar 27, 2017 Accepting new patients
Tulsa Ear Nose and Throat Center, PC Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

8803 S 101st East Ave
Ste 165
Tulsa, OK 74133
Phone (918) 252-9100

9001 S 101st East Ave
Ste 280
Tulsa, OK 74133
Phone (918) 392-5600

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: mbauman112928@ahs.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1235213182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "STE 280",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-459-8824",
            "fax_number": "918-307-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "STE 280",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-459-8824",
            "fax_number": "918-307-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "MARGIE",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0062949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PVN BCBSOK",
            "identifier": "76.0639661-0009",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100198130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.