Active NPI
Dona Robertson, PA-C
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2369
- Practice address
- 9716 Riverside Pkwy
Tulsa, OK 74137-7447 - Phone
- (918) 528-6156
- NPI assigned
- Feb 19, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2369 | OK | Primary |
Addresses
Primary practice location
9716 Riverside Pkwy
Tulsa, OK 74137-7447
Mailing address
9716 Riverside Pkwy
Tulsa, OK 74137-7447
Other practice location 1
9917 SE 15th St
Oklahoma City, OK 73130-5504
Phone (405) 622-2078
Other practice location 2
1400 SE 4th St
ste h
Moore, OK 73160-7329
Phone (405) 799-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2369 | Other | OK | OK MEDICAL BOARD |
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
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1623 S Utica Ave
Tulsa, OK 74104-4909
Phone (918) 392-5100
2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520
9716 Riverside Pkwy
Suite 100
Tulsa, OK 74137-7450
Phone (918) 528-4897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2369 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Primary Care Inc | Past | Accepting new patients | |
| Oca MWC LP | Past | Accepting new patients | |
| Revive Health of Oklahoma LLC | Past | Accepting new patients |
Interoperability endpoints
- dona.robertsonpac.p8@direct.nextcare.nextgenshare.com
- dona.robertsonpac.p10@direct.nextcare.nextgenshare.com
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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1417769829
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Family Medicine Physician
- Moore, OK
- NPI 1063536233
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1417105321
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1740842327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1366867947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9716 RIVERSIDE PKWY",
"city": "TULSA",
"state": "OK",
"postal_code": "741377447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9716 RIVERSIDE PKWY",
"city": "TULSA",
"state": "OK",
"postal_code": "741377447",
"telephone_number": "918-528-6156"
}
],
"practiceLocations": [
{
"address_1": "9917 SE 15th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731305504",
"country_code": "US",
"telephone_number": "405-622-2078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 SE 4th St",
"address_2": "ste h",
"address_purpose": "LOCATION",
"city": "Moore",
"state": "OK",
"postal_code": "731607329",
"country_code": "US",
"telephone_number": "405-799-7400",
"fax_number": "405-799-7405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "DONA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK MEDICAL BOARD",
"identifier": "2369",
"state": "OK"
}
],
"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 Jun 13, 2025; 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.