Shelby Paige Youngblood, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4875 Issued in OK

Practice address

12697 E 51St St
Tulsa, OK 74146-6236

Phone

(918) 505-3200

NPI assigned

Nov 21, 2022

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Cancer Specialists and Research Institute, LLCGroup PAC ID 0042513558, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91 of 100Reported as group

Quality

86.79

Promoting interoperability

100

Improvement activities

40

Cost

76.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Oklahoma Cancer Specialists and Research Institute LLC

  • MOHS-Micrographic Surgery Physician
  • Broken Arrow, OK
  • NPI 1104291236
  Medicare reassignment Care Compare group
• Oklahoma Cancer Specialists and Research Institute LLC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1962876045
  NPD
• Oklahoma Cancer Specialists and Research Institute, LLC

  • Surgical Oncology Physician
  • Tulsa, OK
  • NPI 1194396721
  NPD
• Tulsa Cancer Institute PLLC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1508172982
  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1881303667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12697 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466236",
            "telephone_number": "918-505-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "SHELBY",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-11-03",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Young
• William Young, CM II
• Yantis Young
• Zarria Young
• Elroy Youngblood
• Demesha D Younger
• Gladys Marie Younger, MASTERS DEGREE
• Kimberly R Younger, CRNA
• Vicki Renee Younger
• Jahna Anne Youngpeter

• Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.