Individual provider Active NPI

Samantha Tucker, APRN-CNS, ACGCNS-BC

  • Gerontology Clinical Nurse Specialist
  • Tulsa, OK
National Provider Identifier
1275088635
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
R0101047 Issued in OK
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

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20200623001933 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 9436447893 Reassigns benefits to 1 organization

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
Mobile Wound Care LLCGroup PAC ID 4486028685, 29 clinicians

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

LicenseStateTypeSpecialty
0101047OKMDAdult Health Clinical Nurse Specialist
R0101047OKMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Care LLC Wound Care CurrentSince Oct 1, 2025 Accepting new patients
Mobile Wound Care LLC Wound Care CurrentSince Oct 1, 2025 Accepting new patients
Access Solutions Rheumatology, LLC Rheumatology CurrentSince Jul 6, 2026 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.

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

Verify at the official NPI Registry.