NPIMap

Individual provider Active NPI

Kelsey Gonzales

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1912558271
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4527 Issued in OK
Practice address
1145 S Utica Ave Ste 365
Tulsa, OK 74104-4004
Phone
(918) 728-3354
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9121468 FL
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 4527 OK Primary

Addresses

Primary practice location

1145 S Utica Ave Ste 365
Tulsa, OK 74104-4004

Mailing address

4705 S 129TH East Ave
Tulsa, OK 74134-7005
Phone (918) 727-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210923001493 OK Practitioner - Physician Assistant 4486051125 Reassigns benefits to 2 organizations
I20220601001103 TX Practitioner - Physician Assistant 4486051125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424

Hospital & facility affiliations

  • Council Oak Comprehensive Healthcare Hospital, Tulsa, OK, CCN 370244
  • Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333
  • Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
81.24
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Bailey Medical Center, LLC Past Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients

Locations

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

Dept 1467
Tulsa, OK 74182

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

Interoperability endpoints

  • Direct secure messaging: kcook21607@muscogeecreeknation.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4

Organizations & group practices 6

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1912558271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 S 129TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347005",
            "telephone_number": "918-727-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 365",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044004",
            "telephone_number": "918-728-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9121468",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.