Individual provider Active NPI

Nicole Bernard Washington, D.O.

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1942370267
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4235 Issued in OK
Practice address
7633 E 63Rd PL Ste 300
Tulsa, OK 74133-1202
Phone
(918) 994-2347
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4235 OK Primary
Psychiatry Physician 2084P0800X 0102205539 VA
Psychiatry Physician 2084P0800X 83253 GA
Psychiatry Physician 2084P0800X R8288 TX

Addresses

Primary practice location

7633 E 63Rd PL Ste 300
Tulsa, OK 74133-1202

Mailing address

PO Box 3674
Broken Arrow, OK 74013-3674
Phone (918) 994-2347

Other names 1

  • Nicole Michelle Bernard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, WY, NC, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190918002780 TX Practitioner - Psychiatry 5698719920 Reassigns benefits to 1 organization
I20191210000687 GA Practitioner - Psychiatry 5698719920 Reassigns benefits to 1 organization
I20200324002717 WY Practitioner - Psychiatry 5698719920 Reassigns benefits to 1 organization
I20211112002005 NC Practitioner - Psychiatry 5698719920 Reassigns benefits to 1 organization
I20220825001891 VA Practitioner - Psychiatry 5698719920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

Practice addresses (Care Compare)

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
83253GAMDPsychiatry Physician
0102205539VAMDPsychiatry Physician
4235OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elocin Psychiatric Services, PLLC Psychiatry Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2019 Accepting new patients
MCPC-11, LLC CurrentSince Aug 20, 2021 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Psychiatry CurrentSince Mar 2, 2020 Accepting new patients
Sentara Medical Group CurrentSince Jul 25, 2022 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Mar 2, 2020 Accepting new patients
Campbell County Hospital District Past Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1080 First Colonial Rd
Ste 403
Virginia Beach, VA 23454
Phone (757) 496-6537

1020 First Colonial Rd
Ste A
Virginia Beach, VA 23454
Phone (757) 395-5342

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1942370267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3674",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740133674",
            "telephone_number": "918-994-2347",
            "fax_number": "918-856-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E 63RD PL STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331202",
            "telephone_number": "918-994-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "NICOLE",
        "middle_name": "BERNARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "4235",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102205539",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "83253",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R8288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BERNARD",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.