Individual provider Active NPI

Lindsay A Shaffer, ARNP, AGNP-C

  • Primary Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1962234328
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
219743 Issued in OK
Practice address
313 S Cincinnati Ave PH Suite
Tulsa, OK 74103-3604
Phone
(918) 441-0414
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 219743 OK Primary

Addresses

Primary practice location

313 S Cincinnati Ave PH Suite
Tulsa, OK 74103-3604

Mailing address

313 S Cincinnati Ave PH Suite
Tulsa, OK 74103-3604
Phone (918) 441-0414

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
I20241021002349 OK Practitioner - Nurse Practitioner 1456883016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Medical Services PLLCGroup PAC ID 1052608700, 3 clinicians

Practice addresses (Care Compare)

3345 S Harvard Ave
Suite 202
Tulsa, OK 74135-1809
Phone (918) 877-0070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219743OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Medical Services, PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3345 S Harvard Ave
Ste 202
Tulsa, OK 74135
Phone (314) 578-8874

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12574/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lindsay.shaffer.1@12574.direct.athenahealth.com

Organizations & group practices 1

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1962234328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S CINCINNATI AVE PH SUITE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741033604",
            "telephone_number": "918-441-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S CINCINNATI AVE PH SUITE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741033604",
            "telephone_number": "918-441-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "LINDSAY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ARNP, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "219743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.