Individual provider Active NPI

Jacob Taft Malone, APRN-CNP

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1851043947
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R0109525 Issued in OK
Practice address
6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929
Phone
(918) 494-8500
Fax
(918) 307-5578
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R0109525 OK Primary

Addresses

Primary practice location

6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929

Mailing address

6502 S Yale Ave Ste 3410
Tulsa, OK 74136-8329
Phone (918) 499-4855

Other practice location 1

10505 E 91st St Ste 208
Tulsa, OK 74133-5829
Phone (918) 494-8500

Other practice location 2

102 S Main St
Sand Springs, OK 74063-6509
Phone (918) 494-8500

Other practice location 3

11610 N 137th E Ave
Owasso, OK 74055
Phone (918) 494-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jacob.malone@ascension.org Direct Ascension St. John Hospital

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
I20220317002774 OK Practitioner - Nurse Practitioner 1153716782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0109525OKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jan 23, 2022 Accepting new patients
St. John Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
St. John Physicians, Inc CurrentSince Feb 20, 2022 Accepting new patients

Locations

102 S Main St
Sand Springs, OK 74063
Phone (918) 245-2286

10505 E 91st St
Ste 208
Tulsa, OK 74133
Phone (918) 307-5470

6151 S Yale Ave
Ste 100A
Tulsa, OK 74136
Phone (918) 494-2100

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Fl 5
Tulsa, OK 74104
Phone (918) 712-3366

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • Direct secure messaging: jmalone265328@direct.saintfrancis.com

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.

Hospital & facility affiliations 4

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1851043947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 S YALE AVE STE 3410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368329",
            "telephone_number": "918-499-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE STE 100A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361929",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10505 E 91st St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335829",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636509",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11610 N 137th E Ave",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "74055",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JACOB",
        "middle_name": "TAFT",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "R0109525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jacob.malone@ascension.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Ascension St. John Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1923 S Utica Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741046520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.