Individual provider Active NPI

Samantha May Kipps, APRN-CNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1326715269
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204256 Issued in OK
Practice address
9175 S Yale Ave Ste 220
Tulsa, OK 74137-4043
Phone
(918) 884-7800
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 204256 OK Primary

Addresses

Primary practice location

9175 S Yale Ave Ste 220
Tulsa, OK 74137-4043

Mailing address

226 Springview Dr
Skiatook, OK 74070-4548
Phone (918) 559-9318

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
I20220104002943 OK Practitioner - Nurse Practitioner 2961893789 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Pain SolutionsGroup PAC ID 2668620220, 13 clinicians

Practice addresses (Care Compare)

4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone (918) 710-4112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.19 of 100Reported as group
Quality
47.27
Improvement activities
40
Cost
63.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Nov 22, 2021 Accepting new patients
Access Pain Solutions CurrentSince Oct 24, 2024 Accepting new patients
Pmo Medical PLLC CurrentSince Jan 1, 2023 Accepting new patients
Pmo Medical PLLC CurrentSince Jan 1, 2023 Accepting new patients
St. John Physicians, Inc CurrentSince Nov 22, 2021 Accepting new patients
Access Solutions Behavioral Health, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

3450 E Frank Phillips Blvd
Ste 400
Bartlesville, OK 74006
Phone (918) 338-3740

1751 N Aspen Ave
Broken Arrow, OK 74012
Phone (561) 420-4453

1201 E Wade Watts Ave
McAlester, OK 74501

3401 W Broadway St
Muskogee, OK 74401
Phone (918) 687-5477

100 W 7th St
Okmulgee, OK 74447
Phone (918) 758-1930

555 W Ruth Ave
Sallisaw, OK 74955
Phone (918) 774-0147

3905 S State Highway 97
Ste A
Sand Springs, OK 74063

3905 S Highway 97
Sand Springs, OK 74063
Phone (918) 245-7500

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

4750 S Garnett Rd
Ste B
Tulsa, OK 74146
Phone (539) 812-2100

4750 S Garnett Rd
Tulsa, OK 74146
Phone (539) 812-2100

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

7901 S Sheridan Rd
Tulsa, OK 74133

715 N Foreman St
Vinita, OK 74301
Phone (918) 256-8477

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1326715269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SPRINGVIEW DR",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740704548",
            "telephone_number": "918-559-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 S YALE AVE STE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374043",
            "telephone_number": "918-884-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPS",
        "first_name": "SAMANTHA",
        "middle_name": "MAY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.