Individual provider Active NPI

Korey Intfen Rogers, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1548508542
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0097168 Issued in OK
Practice address
1120 S Utica Ave
Ste. G100
Tulsa, OK 74104-4012
Phone
(918) 579-3840
Fax
(918) 579-3849
NPI assigned
Jan 25, 2013
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0097168 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Ste. G100
Tulsa, OK 74104-4012

Mailing address

1120 S Utica Ave
Ste. G100
Tulsa, OK 74104-4012
Phone (918) 579-3840

Other identifiers 1

IdentifierTypeStateIssuer
200480680AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130727000092 OK Practitioner - Nurse Practitioner 5294976684 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7127 S Olympia Ave
Xpress Wellness Urgent Care
Tulsa, OK 74132-1856
Phone (918) 665-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0097168OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Sep 16, 2021 Accepting new patients
Vitalcare Health Services PC CurrentSince Nov 11, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Sep 16, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC CurrentSince Nov 23, 2015 Accepting new patients
Ahs Oklahoma Physician Group LLC Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Vitalcare Medical Services PA PastSince Aug 25, 2025 Accepting new patients

Locations

503 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 286-6331

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

2100 Townsend Dr
El Reno, OK 73036
Phone (405) 262-3323

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1120 S Utica Ave
Ste G100
Tulsa, OK 74104
Phone (918) 392-0175

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

Dept 1467
Tulsa, OK 74182

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1548508542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "STE. G100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-3840",
            "fax_number": "918-579-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "STE. G100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-3840",
            "fax_number": "918-579-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KOREY",
        "middle_name": "INTFEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0097168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200480680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.