Individual provider Active NPI

Kristina Rogers, APRN, CNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1801394101
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
109407 Issued in OK
Practice address
10210 E 91St St
Tulsa, OK 74133-5834
Phone
(918) 940-8500
Fax
(918) 940-8399
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 109407 OK Primary

Addresses

Primary practice location

10210 E 91St St
Tulsa, OK 74133-5834

Mailing address

10210 E 91St St
Tulsa, OK 74133-5834
Phone (918) 940-8500

Other identifiers 1

IdentifierTypeStateIssuer
200758530AMedicaidOK

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
I20180320000449 OK Practitioner - Nurse Practitioner 4284996893 Reassigns benefits to 3 organizations

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
Gastroenterology Specialists, Inc.Group PAC ID 0446251664, 21 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

10210 E 91St St
FL 2
Tulsa, OK 74133-5834
Phone (918) 940-8900

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
  • St John Owasso Hospital, Owasso, OK, CCN 370227
  • Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312

Merit-based Incentive Payment System (MIPS)

Final score
80.43 of 100Reported as group
Quality
70.34
Promoting interoperability
84
Improvement activities
40
Cost
77.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109407OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medrite Health LLC CurrentSince Feb 1, 2018 Accepting new patients
Gastroenterology Specialists, Inc. CurrentSince Nov 19, 2018 Accepting new patients
Medrite Health LLC Past Accepting new patients

Locations

12455 E 100th St N
Ste 270
Owasso, OK 74055
Phone (918) 940-8500

10210 E 91st St
Tulsa, OK 74133
Phone (918) 940-8500

10210 E 91st St
Fl 2
Tulsa, OK 74133
Phone (918) 940-8500

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1801394101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500",
            "fax_number": "918-940-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500",
            "fax_number": "918-940-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KRISTINA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "109407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200758530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.