Active NPI
Ellen Bertrand King, NP
- Gerontology Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 211100
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 502-2051
- Fax
- (918) 494-6303
- NPI assigned
- Jan 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 550551 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | AP130256 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 211100 | OK | Primary |
| Nurse Practitioner | 363L00000X | AP130256 | TX |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361
Phone (918) 501-8611
Other practice location 1
10020 Research Forest Dr Unit D
The Woodlands, TX 77354-6780
Phone (281) 896-0013
Other practice location 2
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 502-2051
Other practice location 3
6720 Bertner Ave
Houston, TX 77030-2604
Phone (832) 355-3484
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eking24123@bcm.ghhdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393
Hospital & facility affiliations
- Hillcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550551 | TX | MD | Registered Nurse |
| AP130256 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Nurse Practitioner | Current | Accepting new patients |
| University Medical Group PLLC | Past | Accepting new patients |
Locations
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1120 S Utica Ave
#G100
Tulsa, OK 74104
Phone (918) 392-0175
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
1145 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-2368
Interoperability endpoints
- eking833960@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Nurse Practitioner
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
- Pain Medicine Physician
- Houston, TX
- NPI 1093375313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1669918603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363361",
"telephone_number": "918-501-8611",
"fax_number": "918-488-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-502-2051",
"fax_number": "918-494-6303"
}
],
"practiceLocations": [
{
"address_1": "10020 Research Forest Dr Unit D",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773546780",
"country_code": "US",
"telephone_number": "281-896-0013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Rockefeller Dr",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744015075",
"country_code": "US",
"telephone_number": "918-502-2051",
"fax_number": "918-494-6303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6720 Bertner Ave",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302604",
"country_code": "US",
"telephone_number": "832-355-3484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ELLEN",
"middle_name": "BERTRAND",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-15",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "550551",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP130256",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "211100",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP130256",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eking24123@bcm.ghhdirect.net",
"affiliation": "N",
"address_1": "7200 Cambridge St Fl 10",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770304202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.