Individual provider Active NPI

Ted Lee Barrett, APRN-CNP

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1407304827
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1216463 Issued in OK
Practice address
705 W Oakland St
Broken Arrow, OK 74012-1656
Phone
(918) 251-2666
NPI assigned
Sep 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1216463 OK Primary

Addresses

Primary practice location

705 W Oakland St
Broken Arrow, OK 74012-1656

Mailing address

12902 E 51St St
Tulsa, OK 74134-6712
Phone (918) 994-3476

Other identifiers 1

IdentifierTypeStateIssuer
200708550AMedicaidOK

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
I20180807003571 OK Practitioner - Nurse Practitioner 2062760028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians
Medwise LLCGroup PAC ID 8820410970, 33 clinicians

Practice addresses (Care Compare)

110 E 41St St
Sand Springs, OK 74063-3851
Phone (918) 727-2860

11495 S State Hwy 51
Coweta, OK 74429-7138
Phone (918) 727-2780

14777 S Memorial Dr
Bixby, OK 74008-4372
Phone (918) 727-2820

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

8105 E 68TH St
Tulsa, OK 74133-2236
Phone (918) 727-2810

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1216463OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epn Urgent Care LLC Current Accepting new patients
Urgent Care of Naples PA CurrentSince Apr 10, 2024 Accepting new patients
Medwise LLC CurrentSince Aug 15, 2024 Accepting new patients
Medwise LLC CurrentSince Aug 15, 2024 Accepting new patients
Northeast Oklahoma Physician Network Inc Past Accepting new patients

Locations

6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054

505 SE Washington Blvd
#B
Bartlesville, OK 74006
Phone (918) 524-9760

14777 S Memorial Dr
Bixby, OK 74008
Phone (918) 727-2820

2550 N 9th St
Broken Arrow, OK 74012
Phone (918) 727-2850

1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2831

11495 S State Highway 51
Coweta, OK 74429
Phone (918) 727-2780

11760 E 86th St N
Owasso, OK 74055
Phone (918) 272-2829

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2831

32 W Taft Ave
Sapulpa, OK 74066
Phone (918) 727-2790

12902 E 51st St
Tulsa, OK 74134
Phone (918) 994-3476

6336 E Admiral Pl
Tulsa, OK 74115
Phone (918) 727-2830

8105 E 68th St
Tulsa, OK 74133
Phone (918) 727-2810

1520 SW 1st St
Wagoner, OK 74467
Phone (918) 727-2790

Interoperability endpoints

  • Direct secure messaging: ted.barrett.1@21352.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIHBDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1407304827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741346712",
            "telephone_number": "918-994-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W OAKLAND ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121656",
            "telephone_number": "918-251-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TED",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F1216463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200708550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.