Individual provider Active NPI

Nathan Kyle Roberts, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1508578048
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
211464 Issued in OK
Practice address
2408 E 81St St Ste 300
Tulsa, OK 74137-4215
Phone
(918) 477-5000
NPI assigned
Dec 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0113138 OK
Certified Registered Nurse Anesthetist 367500000X 211464 OK Primary

Addresses

Primary practice location

2408 E 81St St Ste 300
Tulsa, OK 74137-4215

Mailing address

9905 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6920
Phone (405) 317-9197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000444 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678945821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians
Osh Aai PLLCGroup PAC ID 4587818729, 73 clinicians
Associated Anesthesiologists, Inc.Group PAC ID 7911989017, 111 clinicians

Practice addresses (Care Compare)

1000 W Boise Cir
Broken Arrow, OK 74012-4900
Phone (918) 994-8000

2408 E 81St St
Tulsa, OK 74137-4200
Phone (918) 477-5000

3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300

6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0113138OKMDRegistered Nurse
211464OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Aai PLLC CurrentSince Mar 1, 2023 Accepting new patients
Integral Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2025 Accepting new patients

Locations

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

2408 E 81st St
Ste 300
Tulsa, OK 74137
Phone (918) 477-5000

6839 S Canton Ave
Tulsa, OK 74136
Phone (918) 494-0612

2408 E 81st St
Ste 900
Tulsa, OK 74137
Phone (918) 477-5000

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.

Hospital & facility affiliations 3

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1508578048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596920",
            "telephone_number": "405-317-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 E 81ST ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374215",
            "telephone_number": "918-477-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NATHAN",
        "middle_name": "KYLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0113138",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "211464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.