Individual provider Active NPI

Chris N. M. Mumford, APRN-CNS

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1386421527
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
214516 Issued in OK
Practice address
3903 S Detroit Ave
Tulsa, OK 74105-3039
Phone
(405) 627-5133
NPI assigned
Sep 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 214516 OK
Nurse Practitioner 363L00000X 214516 OK Primary

Addresses

Primary practice location

3903 S Detroit Ave
Tulsa, OK 74105-3039

Mailing address

3903 S Detroit Ave
Tulsa, OK 74105-3039
Phone (405) 627-5133

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218001035 OK Practitioner - Nurse Practitioner 1254780182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
214516OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince May 29, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince May 29, 2025 Accepting new patients
Osteopathic Physicians of Tulsa, Inc. CurrentSince Nov 7, 2023 Accepting new patients
Osteopathic Physicians of Tulsa, Inc Past Accepting new patients

Locations

215 S Brady St
Claremore, OK 74017
Phone (918) 283-2946

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1000 NE 13th St
Ste 1G
Oklahoma City, OK 73104
Phone (405) 271-3445

802 S Jackson Ave
Ste 301
Tulsa, OK 74127
Phone (918) 582-3154

6465 S Yale Ave
Ste 401
Tulsa, OK 74136
Phone (918) 561-6141

Dept 2761
Tulsa, OK 74182
Phone (918) 582-3154

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1386421527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 S DETROIT AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053039",
            "telephone_number": "405-627-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S DETROIT AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053039",
            "telephone_number": "405-627-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "CHRIS",
        "middle_name": "N. M.",
        "credential": "APRN-CNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OK",
            "license": "214516",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "214516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.