NPIMap

Organization Active NPI

Crossover Health Services Inc

Doing business as Crossover Health Services

  • Federally Qualified Health Center (FQHC)
  • Tulsa, OK
National Provider Identifier
1942958111
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CROSSOVER HEALTH SERVICES INC
Doing business as
Crossover Health Services
Practice address
5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126-6409
Phone
(918) 398-9460
Fax
(918) 992-2822
NPI assigned
Mar 16, 2022
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Sharmien Watkins
Title
Cfo
Phone
(918) 398-9460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Medical Specialty Clinic/Center 261QM2500X NU

Addresses

Primary practice location

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126-6409

Mailing address

940 E 36TH St N
Tulsa, OK 74106-1953
Phone (918) 398-9460

Other identifiers 2

IdentifierTypeStateIssuer
200514040BMedicaidOK
200514040DMedicaidOK

Other names 1

  • Crossover Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.abraham.1@16190.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140828000563 OK Part B Supplier - Clinic/Group Practice 0345468625 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tulsa, OK
O20250213002811 OK Part A Provider - Federally Qualified Health Center (FQHC) 2668819145 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942958111. Details of each certification follow.

Federally qualified health center certification: CCN 371046

Legal name
CROSSOVER HEALTH SERVICES INC
Doing business as
REALTIME, LLC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 8, 2025
Last certification
Mar 8, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126-6409

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2252386Crossover Health Services, LLC5635 N Martin Luther King Jr Blvd, Tulsa, OK 74126Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
CHS at 36TH Street Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sharmien Charnisette Watkins Individual W-2 Managing EmployeeChief Financial Officer (Cfo) Aug 1, 2023
Robin Higgins Individual Corporate DirectorSecretary Aug 1, 2023
Eva Louise Ingram Individual Corporate DirectorVice-President Aug 1, 2023
Natalie K Schaller Individual W-2 Managing EmployeeMD; Aug 1, 2023
John T Whitaker Individual W-2 Managing EmployeeCeo Aug 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1942958111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061953",
            "telephone_number": "918-398-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741266409",
            "telephone_number": "918-398-9460",
            "fax_number": "918-992-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "SHARMIEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-398-9460"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200514040B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200514040D",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.abraham.1@16190.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct messaging address",
            "address_1": "5635 N Martin Luther King Jr Blvd",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741266409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crossover Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.