Individual provider Active NPI

Tracy L Massengale, ARNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1811080146
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44471 Issued in OK
Practice address
13901 Technology Dr
Oklahoma City, OK 73134-1052
Phone
(405) 606-2727
Fax
(405) 606-7040
NPI assigned
Sep 30, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 44471 OK Primary

Addresses

Primary practice location

13901 Technology Dr
Oklahoma City, OK 73134-1052

Mailing address

13901 Technology Dr
Oklahoma City, OK 73134-1052
Phone (405) 606-2727

Other identifiers 1

IdentifierTypeStateIssuer
100106970BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address notice@appriver.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050329001191 OK Practitioner - Nurse Practitioner 8426000860 Reassigns benefits to 2 organizations
I20260225002292 TX Practitioner - Nurse Practitioner 8426000860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Sleep Institute Clinic Okc LLC Osi ClinicGroup PAC ID 7113070731, 7 clinicians

Practice addresses (Care Compare)

13901 Technology Dr
Suite a
Oklahoma City, OK 73134-1052
Phone (405) 606-2727

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Sleep Institute Clinic Okc LLC Osi Clinic Family CurrentSince May 1, 2014 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 19, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 19, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 19, 2026 Accepting new patients
Sleep Safe LLC Past Accepting new patients
Oklahoma Sleep Institute LLC Past Accepting new patients
Midwest City Hma Physician Management, LLC Past Accepting new patients

Locations

1757 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 932-2155

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

13901 Technology Dr
Oklahoma City, OK 73134

13901 Technology Dr
Ste A
Oklahoma City, OK 73134

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4
  • Direct secure messaging: tmassengale23056@muscogeecreeknation.direct-ci.com
  • Direct secure messaging: tracy.massengale.1@13821.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1811080146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 TECHNOLOGY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341052",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 TECHNOLOGY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341052",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGALE",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2026-09-29",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "44471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106970B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "notice@appriver.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13901 Technology Dr",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731341052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.