Active NPI
Samantha May Kipps, APRN-CNP
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 204256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 47.27
- Improvement activities
- 40
- Cost
- 63.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Access Pain Solutions | Current | Accepting new patients | |
| Pmo Medical PLLC | Current | Accepting new patients | |
| Pmo Medical PLLC | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Access Solutions Behavioral Health, LLC | Current | 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.
-
- Pain Medicine Physician
- Tulsa, OK
- NPI 1740535368
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1518774850
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Broken Arrow, OK
- NPI 1780054627
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- McAlester, OK
- NPI 1437638228
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.