Individual provider Active NPI

Amanda Rhea Bibbs

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1609396944
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88263 Issued in OK
Practice address
6135 S 90TH East Ave
Tulsa, OK 74133
Phone
(593) 512-5609
Fax
(405) 844-0562
NPI assigned
Jun 27, 2017
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 88263 OK Primary

Addresses

Primary practice location

6135 S 90TH East Ave
Tulsa, OK 74133

Mailing address

1701 Renaissance Blvd Ste 110
Edmond, OK 73013-3084
Phone (405) 844-4978

Other practice location 1

9001 S 101st East Ave Ste 200
Tulsa, OK 74133-5711
Phone (918) 392-5470

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
I20170818000417 OK Practitioner - Nurse Practitioner 2365714896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Arthritis Center, P.C.Group PAC ID 0446239743, 45 clinicians

Practice addresses (Care Compare)

1701 Renaissance Blvd
Suite 110
Edmond, OK 73013-3084
Phone (405) 844-4978

Merit-based Incentive Payment System (MIPS)

Final score
74.12 of 100Reported as group
Quality
64.14
Promoting interoperability
75
Improvement activities
40
Cost
70.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Arthritis Center, P.C. CurrentSince Sep 1, 2019 Accepting new patients

Locations

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978

6135 S 90th East Ave
Tulsa, OK 74133
Phone (539) 367-1145

9322 E 41st St
Tulsa, OK 74145
Phone (918) 628-2500

Interoperability endpoints

  • Direct secure messaging: amandabibbs@oac.allscriptsdirect.net

Organizations & group practices 1

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1609396944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133084",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 S 90TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "593-512-5609",
            "fax_number": "405-844-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 S 101st East Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335711",
            "country_code": "US",
            "telephone_number": "918-392-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBBS",
        "first_name": "AMANDA",
        "middle_name": "RHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.