Individual provider Active NPI

Cheyenne Colby Westlake, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1558049213
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214712 Issued in OK
Practice address
8105 E 68TH St
Tulsa, OK 74133-2236
Phone
(918) 727-2810
Fax
(918) 501-8097
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 214712 OK
Family Nurse Practitioner 363LF0000X 214712 OK Primary

Addresses

Primary practice location

8105 E 68TH St
Tulsa, OK 74133-2236

Mailing address

6502 S Yale Ave Ste 3410
Tulsa, OK 74136-8329
Phone (918) 499-4855

Other identifiers 1

IdentifierTypeStateIssuer
201192130AMedicaidOK

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
I20231101003364 OK Practitioner - Nurse Practitioner 2163878778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwise LLCGroup PAC ID 8820410970, 33 clinicians

Practice addresses (Care Compare)

11495 S State Hwy 51
Coweta, OK 74429-7138
Phone (918) 727-2780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214712OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medwise LLC CurrentSince Sep 1, 2024 Accepting new patients
Medwise LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

505 SE Washington Blvd
#B
Bartlesville, OK 74006
Phone (918) 524-9760

14777 S Memorial Dr
Bixby, OK 74008
Phone (918) 727-2820

2550 N 9th St
Broken Arrow, OK 74012
Phone (918) 727-2850

1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2831

11495 S State Highway 51
Coweta, OK 74429
Phone (918) 727-2780

11760 E 86th St N
Owasso, OK 74055
Phone (918) 272-2829

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2831

32 W Taft Ave
Sapulpa, OK 74066
Phone (918) 727-2790

6336 E Admiral Pl
Tulsa, OK 74115
Phone (918) 727-2830

8105 E 68th St
Tulsa, OK 74133
Phone (918) 727-2810

1520 SW 1st St
Wagoner, OK 74467
Phone (918) 727-2790

Interoperability endpoints

  • Direct secure messaging: cheyenne.westlake.1@21352.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1558049213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 S YALE AVE STE 3410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368329",
            "telephone_number": "918-499-4855",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332236",
            "telephone_number": "918-727-2810",
            "fax_number": "918-501-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLAKE",
        "first_name": "CHEYENNE",
        "middle_name": "COLBY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "214712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "214712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201192130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.