Individual provider Active NPI

Dawn Marie Ballew, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1295278240
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R0117056 Issued in OK
Practice address
2323 S Harvard Ave
Tulsa, OK 74114-3301
Phone
(918) 293-2140
Fax
(918) 293-2195
NPI assigned
Nov 23, 2016
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R0117056 OK Primary
Registered Nurse 163W00000X 117056 OK

Addresses

Primary practice location

2323 S Harvard Ave
Tulsa, OK 74114-3301

Mailing address

2323 S Harvard Ave
Tulsa, OK 74114-3301
Phone (918) 293-2140

Other practice location 1

6655 S Yale Ave
Tulsa, OK 74136-3326
Phone (918) 491-3700

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
I20200329000066 OK Practitioner - Nurse Practitioner 8325477250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

2323 S Harvard Ave
TCBH
Tulsa, OK 74114-3301
Phone (918) 293-2140

Merit-based Incentive Payment System (MIPS)

Final score
95.86 of 100Reported as group
Quality
85.15
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117056OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Mar 24, 2020 Accepting new patients
State of Oklahoma CurrentSince Mar 24, 2020 Accepting new patients
State of Oklahoma Psychiatric/Mental Health Current Accepting new patients
Laureate Psychiatric Clinic and Hospital Inc CurrentSince Aug 5, 2024 Accepting new patients
Indian Health Care Resource Center PastSince Mar 24, 2003 Accepting new patients
Indian Health Care Resource Center of Tulsa, Inc. Past Accepting new patients

Locations

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

6600 S Yale Ave
Ste 600
Tulsa, OK 74136
Phone (918) 491-5990

6655 S Yale Ave
Tulsa, OK 74136
Phone (918) 481-4000

Interoperability endpoints

  • Direct secure messaging: dballew26624@direct.saintfrancis.com

Organizations & group practices 6

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295278240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143301",
            "telephone_number": "918-293-2140",
            "fax_number": "918-293-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143301",
            "telephone_number": "918-293-2140",
            "fax_number": "918-293-2195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741363326",
            "country_code": "US",
            "telephone_number": "918-491-3700",
            "fax_number": "918-481-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0117056",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "117056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.