Individual provider Active NPI

Tyler Paul Agee, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1679267397
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
212149 Issued in OK
Practice address
13301 N Meridian Ave Ste 501
Oklahoma City, OK 73120-9368
Phone
(405) 752-0871
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 212149 OK Primary

Addresses

Primary practice location

13301 N Meridian Ave Ste 501
Oklahoma City, OK 73120-9368

Mailing address

13301 N Meridian Ave Ste 501
Oklahoma City, OK 73120-9368
Phone (405) 752-0871

Other practice location 1

2408 E 81st St Ste 110
Tulsa, OK 74137-4215
Phone (918) 871-3712

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
I20231218000574 OK Practitioner - Nurse Practitioner 7416316435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Wound Specialists LLCGroup PAC ID 4284086828, 12 clinicians

Practice addresses (Care Compare)

3105 E Skelly Dr
Suite 310
Tulsa, OK 74105-6371
Phone (918) 954-1083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Wound Specialists LLC Adult Health CurrentSince Mar 1, 2024 Accepting new patients
Oklahoma Cancer and Blood Specialists, LLC CurrentSince Oct 3, 2023 Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

11100 Hefner Pointe Dr
Ste A
Oklahoma City, OK 73120
Phone (405) 752-0871

13301 N Meridian Ave
Ste 501
Oklahoma City, OK 73120
Phone (405) 608-2772

3105 E Skelly Dr
Ste 310
Tulsa, OK 74105
Phone (918) 599-7404

2408 E 81st St
Ste 110
Tulsa, OK 74137
Phone (539) 666-0919

Organizations & group practices 2

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1679267397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209368",
            "telephone_number": "405-752-0871",
            "fax_number": "405-755-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209368",
            "telephone_number": "405-752-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 E 81st St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374215",
            "country_code": "US",
            "telephone_number": "918-871-3712",
            "fax_number": "918-871-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGEE",
        "first_name": "TYLER",
        "middle_name": "PAUL",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "212149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.