Individual provider Active NPI

Jeffrey M Stephens, ARNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1336451269
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
86141 Issued in OK
Practice address
9645 Riverside Pkwy
Ste C
Tulsa, OK 74137-7423
Phone
(918) 299-4333
Fax
(918) 299-4330
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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 86141 OK Primary

Addresses

Primary practice location

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137-7423

Mailing address

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137-7423
Phone (918) 299-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120717000522 OK Practitioner - Nurse Practitioner 4183880271 Reassigns benefits to 3 organizations
I20230617000021 TX Practitioner - Nurse Practitioner 4183880271 Reassigns benefits to 1 organization
I20240311002829 MO Practitioner - Nurse Practitioner 4183880271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86141OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Feb 4, 2024 Accepting new patients
St John Urgent Care Clinics Inc CurrentSince Jul 15, 2012 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 19, 2023 Accepting new patients
Mercy Hospital Carthage CurrentSince Feb 4, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Tulsa Medical & Rehab LLC CurrentSince Jun 1, 2012 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC CurrentSince Dec 1, 2014 Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

2260 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-4034

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

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

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

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

3311 S Yale Ave
Ste 210
Tulsa, OK 74135
Phone (918) 592-7779

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: jstephens106849@ahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1336451269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 RIVERSIDE PKWY",
            "address_2": "STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377423",
            "telephone_number": "918-299-4333",
            "fax_number": "918-299-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 RIVERSIDE PKWY",
            "address_2": "STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377423",
            "telephone_number": "918-299-4333",
            "fax_number": "918-299-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "86141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.