Andrea Carpenter, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

104922 Issued in OK

Practice address

12697 E 51St St
Tulsa, OK 74146-6236

Phone

(918) 505-3200

NPI assigned

Aug 4, 2019

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Cancer Specialists and Research Institute, LLCGroup PAC ID 0042513558, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD

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.

• Oklahoma Cancer Specialists and Research Institute LLC

  • MOHS-Micrographic Surgery Physician
  • Broken Arrow, OK
  • NPI 1104291236
  Medicare reassignment Care Compare group NPD
• Ahs Claremore Regional Hospital, LLC

  • Rural Health Clinic/Center
  • Claremore, OK
  • NPI 1316579642
  Medicare reassignment NPD
• Allergy Clinic of Tulsa, Inc.

  • Allergy Physician
  • Tulsa, OK
  • NPI 1538270954
  Medicare reassignment NPD
• Ahs Claremore Regional Hospital LLC

  • Rural Health Clinic/Center
  • Claremore, OK
  • NPI 1356974687
  NPD
• Oklahoma Cancer Specialists and Research Institute LLC

  • Hematology & Oncology Physician
  • Stillwater, OK
  • NPI 1932574068
  NPD
• Oklahoma Cancer Specialists and Research Institute, LLC

  • Surgical Oncology Physician
  • Tulsa, OK
  • NPI 1194396721
  NPD
• Tulsa Cancer Institute PLLC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1508172982
  NPD
• Oklahoma Cancer Specialists and Research Institute LLC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1962876045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1336794650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-343-8560",
            "fax_number": "918-505-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ANDREA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0104922",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "104922",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0104922",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "104922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200915270A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tulsa",
            "affiliation": "N",
            "address_1": "5140 E 108th St",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741377243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carole's Hope
• Corey Gene Carolina
• Francine Delong Carona, PHD
• Janna Kaye Carothers
• Abbey Carpenter
• Danasia D Carpenter
• Katherina Nichole Carpenter, BA CMA
• Keith Devon Carpenter, MSW
• Lori Ann Carpenter, MS, CGC, LGC
• Marissa Anna Carpenter, MSW

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.