Individual provider Active NPI

Sabra Jade Sewell, P.A.C.

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1619332285
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10501 E 91St St
Tulsa, OK 74133-5790
Phone
(918) 307-6000
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10501 E 91St St
Tulsa, OK 74133-5790

Mailing address

1102 N Hickory Ave
Broken Arrow, OK 74012-1668
Phone (316) 641-0723

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
I20160301001910 OK Practitioner - Physician Assistant 5597060426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwise LLCGroup PAC ID 8820410970, 33 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

1095 N Aspen Ave
Broken Arrow, OK 74012-9641
Phone (918) 727-2790

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

11760 E 86TH St N
Owasso, OK 74055-2533
Phone (918) 998-9960

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

8105 E 68TH St
Medwise Woodland Hills
Tulsa, OK 74133-2236
Phone (918) 727-2810

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2617OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medwise LLC CurrentSince Sep 1, 2020 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

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

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

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

Interoperability endpoints

  • Direct secure messaging: sabra.sewell.1@21352.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1619332285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N HICKORY AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121668",
            "telephone_number": "316-641-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335790",
            "telephone_number": "918-307-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "SABRA",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.