Individual provider Active NPI

Tyler Feuerborn, APRN-C

  • Primary Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1366941650
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
228312 Issued in OK
Practice address
1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone
(918) 400-7001
Fax
(539) 202-5070
NPI assigned
Feb 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9407120 FL
Primary Care Nurse Practitioner 363LP2300X 228312 OK Primary
Nurse Practitioner 363L00000X 1061932 TX
Primary Care Nurse Practitioner 363LP2300X APRN9407120 FL

Addresses

Primary practice location

1538 N Lewis Ave
Tulsa, OK 74110-2535

Mailing address

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 974-9126

Other practice location 1

1918 NE 23rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000

Other practice location 2

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 974-9126

Other identifiers 1

IdentifierTypeStateIssuer
105715700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220322000443 TX Practitioner - Nurse Practitioner 9032547369 Reassigns benefits to 1 organization
I20260521001612 OK Practitioner - Nurse Practitioner 9032547369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1515 S Buckner Blvd
Suite 141
Dallas, TX 75217-1794
Phone (214) 305-7065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9407120FLMDAdult Health Nurse Practitioner
228312OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Nurse Practitioner CurrentSince Apr 11, 2022 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Nurse Practitioner PastSince Apr 25, 2022 Accepting new patients
Oak Street Health of Georgia PC Nurse Practitioner Past Accepting new patients

Locations

1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1366941650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S BUCKNER BLVD STE 141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171794",
            "telephone_number": "214-974-9126",
            "fax_number": "469-574-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 N LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741102535",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731113328",
            "country_code": "US",
            "telephone_number": "405-453-8000",
            "fax_number": "405-561-4984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Buckner Blvd Ste 141",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752171794",
            "country_code": "US",
            "telephone_number": "214-974-9126",
            "fax_number": "469-574-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEUERBORN",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9407120",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "228312",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1061932",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9407120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105715700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.