NPIMap

Organization Active NPI

Pulse Health & Wellness, LLC

  • Primary Care Clinic/Center
  • Claremore, OK
National Provider Identifier
1427717461
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PULSE HEALTH & WELLNESS, LLC
Practice address
1124 W Will Rogers Blvd
Claremore, OK 74017-5421
Phone
(918) 322-7400
Fax
(918) 322-7600
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Stephanie Justus, APRN-CNPNPI 1417412362
Title
Nurse Practitioner
Phone
(918) 322-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1124 W Will Rogers Blvd
Claremore, OK 74017-5421

Mailing address

1124 W Will Rogers Blvd
Claremore, OK 74017-5421
Phone (918) 322-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220330002032 OK Part B Supplier - Clinic/Group Practice 8820484801 Receives reassigned benefits from 3 practitioners
Practice locations: Claremore, OK

National Provider Directory

National Provider Directory

Locations

1124 W Will Rogers Blvd
Claremore, OK 74017
Phone (918) 322-7400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24460/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1427717461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W WILL ROGERS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175421",
            "telephone_number": "918-322-7400",
            "fax_number": "918-322-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W WILL ROGERS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175421",
            "telephone_number": "918-322-7400",
            "fax_number": "918-322-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "JUSTUS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "918-322-7400",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.