Lisa Ann Bloxham, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

99475 Issued in OK

Practice address

12697 E 51St St
Tulsa, OK 74146-6236

Phone

(918) 505-3200

NPI assigned

Apr 3, 2019

Last updated

Jul 17, 2019By 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 2

Addresses

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)

Merit-based Incentive Payment System (MIPS)

Final score

92.27 of 100Reported as individual

Quality

83.33

Promoting interoperability

100

Improvement activities

40

Cost

78.18

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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
• Oklahoma Cancer Specialists and Research Institute LLC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1962876045
  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

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1366904740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W KNOXVILLE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124657",
            "telephone_number": "918-645-9411"
        },
        {
            "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": "BLOXHAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "99475",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "OK",
            "license": "R0099475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Thornton Bloomfield, APRN
• Kara Blosch, OTR/L
• Michael Blose, DO
• Taylor Marie Blose, DO
• Brandon Dee Bloxham, D.O.
• Graham M Bloyed, PHARMD
• Maleah Bloyed, APRN
• Garrett Blubaugh
• Blue and Red Dental LLC (Shine Dental)
• Blue Anesthesia Management, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.