Active NPI
Regan L Gudgel, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128026
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-0612
- Fax
- (918) 481-5170
- NPI assigned
- Jan 24, 2013
- Last updated
- May 23, 2019
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024171900 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 128026 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Other practice location 1
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538407689 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2408 E 81St St
Tulsa, OK 74137-4200
Phone (918) 477-5000
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128026 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh Aai PLLC | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
2408 E 81st St
Tulsa, OK 74137
Phone (918) 477-5000
2408 E 81st St
Ste 900
Tulsa, OK 74137
Phone (918) 477-5000
6839 S Canton Ave
Tulsa, OK 74136
Phone (918) 494-0612
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.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205170461
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1891733598
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1538407689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363402",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
}
],
"practiceLocations": [
{
"address_1": "4320 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041535",
"country_code": "US",
"telephone_number": "703-504-3789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUDGEL",
"first_name": "REGAN",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024171900",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "128026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538407689",
"state": "VA"
}
],
"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 May 23, 2019; 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.