Active NPI
Samantha Tucker, APRN-CNS, ACGCNS-BC
- Gerontology Clinical Nurse Specialist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- R0101047
- Practice address
- 4750 S Garnett Rd Ste C
Tulsa, OK 74146-5222 - Phone
- (539) 812-2106
- Fax
- (800) 243-8301
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | R0101047 | OK | Primary |
| Rheumatology Physician | 207RR0500X | 101047 | OK | |
| Wound Care Registered Nurse | 163WW0000X | 0101047 | OK |
Addresses
Primary practice location
4750 S Garnett Rd Ste C
Tulsa, OK 74146-5222
Mailing address
4750 S Garnett Rd Ste C
Tulsa, OK 74146-5222
Phone (539) 812-2106
Other names 1
- Samantha Kuplicki
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2424 Springer Dr
Suite 300
Norman, OK 73069-3966
Phone (405) 216-3747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101047 | OK | MD | Adult Health Clinical Nurse Specialist |
| R0101047 | OK | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Wound Care LLC | Wound Care | Current | Accepting new patients |
| Mobile Wound Care LLC | Wound Care | Current | Accepting new patients |
| Access Solutions Rheumatology, LLC | Rheumatology | Current | Accepting new patients |
Locations
301 Lilac Dr
Ste 150
Edmond, OK 73034
Phone (405) 216-3747
209 S 36th St
Muskogee, OK 74401
Phone (918) 682-7717
2424 Springer Dr
Ste 102
Norman, OK 73069
Phone (405) 216-3747
620 24th Ave SW
Norman, OK 73069
Phone (405) 217-9997
2424 Springer Dr
Ste 300
Norman, OK 73069
Phone (405) 216-3747
4750 S Garnett Rd
Ste C
Tulsa, OK 74146
Phone (539) 812-2106
Organizations & group practices 3
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.
-
dba On-Site Wounds
- Emergency Medicine Physician
- Norman, OK
- NPI 1376240028
Wound Care
-
- Rheumatology Physician
- Tulsa, OK
- NPI 1770390015
-
dba On-Site Wounds
- Emergency Medicine Physician
- Sherman, TX
- NPI 1992502421
Wound Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1275088635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 S GARNETT RD STE C",
"city": "TULSA",
"state": "OK",
"postal_code": "741465222",
"telephone_number": "539-812-2106",
"fax_number": "800-243-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 S GARNETT RD STE C",
"city": "TULSA",
"state": "OK",
"postal_code": "741465222",
"telephone_number": "539-812-2106",
"fax_number": "800-243-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "SAMANTHA",
"credential": "APRN-CNS, ACGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "OK",
"license": "R0101047",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OK",
"license": "101047",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "OK",
"license": "0101047",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "KUPLICKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.