Active NPI
Caitlin Amanda Massey, APRN-CNP
- Acute Care Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 113882
- Practice address
- 1923 S. Utica Ave
Tulsa, OK 74104 - Phone
- (918) 744-2345
- NPI assigned
- Oct 14, 2019
- Last updated
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113882 | OK | |
| Acute Care Nurse Practitioner | 363LA2100X | 113882 | OK | Primary |
Addresses
Primary practice location
1923 S. Utica Ave
Tulsa, OK 74104
Mailing address
9900 N. 103Rd East Court
Owasso, OK 74055
Phone (918) 814-7777
Other names 1
- Caitlin Amanda Ellison
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlin.massey@ascension.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113882 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Regional Medical Laboratory, Inc | Past | Accepting new patients |
Locations
3460 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 332-3600
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1923 S Utica Ave
#5
Tulsa, OK 74104
1923 S Utica Ave
Fl 5
Tulsa, OK 74104
Phone (918) 712-3366
Interoperability endpoints
- caitlin.massey@ascension.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1497773337
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John Owasso
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1528600350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 N. 103RD EAST COURT",
"city": "OWASSO",
"state": "OK",
"postal_code": "74055",
"telephone_number": "918-814-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S. UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-744-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "CAITLIN",
"middle_name": "AMANDA",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "113882",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "113882",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlin.massey@ascension.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1923 S. Utica Ave",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "74104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "ELLISON",
"middle_name": "AMANDA",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 27, 2024; 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.