Individual provider Active NPI

Tessa Rae Tate, APRN

  • Adult Health Nurse Practitioner
  • Seminole, OK
National Provider Identifier
1679093116
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
113788 Issued in OK
Practice address
2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone
(405) 382-3650
Fax
(405) 382-6028
NPI assigned
Jun 26, 2017
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 113788 OK Primary

Addresses

Primary practice location

2401 W Wrangler Blvd
Seminole, OK 74868-1917

Mailing address

2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone (405) 382-3650

Other practice location 1

36640 HWY 270 and Barking Water Road
Wewoka, OK 74884
Phone (405) 257-6282 ext. 7332

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tessa.tate.2@4696.direct.athenahealth.com Direct

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
I20170925000702 OK Practitioner - Nurse Practitioner 5991079394 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
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113788OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

2403 W Wrangler Blvd
Ste C
Seminole, OK 74868
Phone (405) 716-3070

Interoperability endpoints

  • Direct secure messaging: tessa.tate.2@4696.direct.athenahealth.com
  • Direct secure messaging: ttate422986@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1679093116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W WRANGLER BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748681917",
            "telephone_number": "405-382-3650",
            "fax_number": "405-382-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W WRANGLER BLVD",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748681917",
            "telephone_number": "405-382-3650",
            "fax_number": "405-382-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36640 HWY 270 and Barking Water Road",
            "address_purpose": "LOCATION",
            "city": "Wewoka",
            "state": "OK",
            "postal_code": "74884",
            "country_code": "US",
            "telephone_number": "405-257-6282 x7332",
            "fax_number": "405-257-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "TESSA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "113788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tessa.tate.2@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2249 Boren Blvd",
            "city": "Seminole",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748681927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seminole, OK

Sources for this page

Verify at the official NPI Registry.