Tristyn Danielle Edgar, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5662 Issued in OK

Practice address

1007 S Peoria Ave
Tulsa, OK 74120-4495

Phone

(918) 858-4661

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AMC Urgent Care Plus LLCGroup PAC ID 3971509381, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• AMC Urgent Care Plus, LLC

  • General Practice Physician
  • Ponca City, OK
  • NPI 1285644153
  Medicare reassignment Care Compare group NPD
• Triad Complete Healthcare A06 LLC

  • Primary Care Clinic/Center
  • Stillwater, OK
  • NPI 1932809738
  NPD (past)

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1417730102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204495",
            "telephone_number": "918-858-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204495",
            "telephone_number": "918-858-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "TRISTYN",
        "middle_name": "DANIELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Eddy, MDIV, MA, LPC
• Eden Anesthesia, Inc.
• Eden Diagnostic Associates
• Rob Eden
• Eric Edgar, MD
• Jennifer Edgerton, RN
• Samar Edgin
• Bradley D Edgington, DO
• Danielle Edmond, LPC-CANDIDATE
• Anne Claire Edmonds, PA-C

• Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.