Individual provider Active NPI

Deborah Louise Greubel, ARNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1316917776
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0053616 Issued in OK
Practice address
4444 E 41St St
Tulsa, OK 74135-2527
Phone
(918) 619-4400
Fax
(918) 619-4152
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 R0053616 OK Primary

Addresses

Primary practice location

4444 E 41St St
Tulsa, OK 74135-2527

Mailing address

PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 688-1967

Other identifiers 1

IdentifierTypeStateIssuer
100137330AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040117000102 OK Practitioner - Nurse Practitioner 6305747825 Reassigns benefits to 5 organizations
I20231121002557 TX Practitioner - Nurse Practitioner 6305747825 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Hospital Medicine Physicians Group, LLC CurrentSince Dec 12, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 31, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 31, 2023 Accepting new patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa CurrentSince Jan 16, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 31, 2023 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Southcrest Emergency Physicians PC Past Accepting new patients

Locations

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

2815 S Sheridan Rd
Tulsa, OK 74129
Phone (918) 838-4760

4444 E 41st St
Ste A
Tulsa, OK 74135
Phone (682) 303-0376

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

4444 E 41st St
Tulsa, OK 74135

Dept 1467
Tulsa, OK 74182

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

1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Organizations & group practices 9

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1316917776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-688-1967",
            "fax_number": "918-619-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-619-4400",
            "fax_number": "918-619-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREUBEL",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0053616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.