Individual provider Active NPI

William Vaughn, NP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1558809434
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95057 Issued in OK
Practice address
2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone
(918) 494-2665
Fax
(918) 927-3193
NPI assigned
Feb 10, 2017
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95057 OK
Family Nurse Practitioner 363LF0000X 95057 OK Primary

Addresses

Primary practice location

2488 E 81St St Ste 290
Tulsa, OK 74137-4265

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone (918) 494-2665

Other identifiers 1

IdentifierTypeStateIssuer
200695310AMedicaidOK

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
I20170419000757 OK Practitioner - Nurse Practitioner 2860778206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians
Medwise LLCGroup PAC ID 8820410970, 33 clinicians

Practice addresses (Care Compare)

1095 N Aspen Ave
Broken Arrow, OK 74012-9641
Phone (918) 727-2870

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

2550 N 9TH St
Broken Arrow, OK 74012-2897
Phone (918) 727-2850

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95057OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics of Oklahoma PLLC CurrentSince Jul 12, 2017 Accepting new patients
Northeast Oklahoma Physician Network Inc Current Accepting new patients
Northeast Oklahoma Physician Network Inc CurrentSince May 1, 2017 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC Family CurrentSince Jul 12, 2017 Accepting new patients
Medwise LLC CurrentSince Sep 1, 2024 Accepting new patients
Medwise LLC CurrentSince Sep 1, 2024 Accepting new patients
Urgent Care Incorporated Past 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

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

1130 E Lansing St
Broken Arrow, OK 74012
Phone (918) 258-9111

1130 E Lansing St
Ste A
Broken Arrow, OK 74012
Phone (918) 258-9990

1130 E Lansing St
Ste B
Broken Arrow, OK 74012
Phone (918) 258-9111

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

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

205 E B St
Jenks, OK 74037
Phone (918) 299-4411

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

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2790

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

2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665

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

6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300

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

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIHBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD
  • Direct secure messaging: william.vaughn.1@21352.direct.athenahealth.com

Organizations & group practices 8

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1558809434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "WILLIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "95057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "95057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200695310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.