Active NPI
Tetyana Volodymyrivna Klimenko, APRN
- Acute Care Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 86371
- Practice address
- 8803 South 101St East Avenue
Suite 255
Tulsa, OK 74133-5760 - Phone
- (918) 294-6840
- Fax
- (918) 298-6839
- NPI assigned
- Mar 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 86371 | OK | Primary |
Addresses
Primary practice location
8803 South 101St East Avenue
Suite 255
Tulsa, OK 74133-5760
Mailing address
8803 S 101St East Ave
Ste 255
Tulsa, OK 74133-5760
Phone (918) 294-6840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200481450A | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130614000495 | OK | Practitioner - Nurse Practitioner | 5890934285 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 S Utica Ave
Suite 300
Tulsa, OK 74104-4243
Phone (918) 592-0999
8801 S 101St E Ave
Hillcrest Hospital South
Tulsa, OK 74133-5716
Phone (919) 294-4000
Hospital & facility affiliations
- Hillcrest Hospital South
- Hillcrest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 84.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Tulsa Hospital Medicine Physicians Group, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| Ahs Oklahoma Heart LLC | Current | Accepting new patients | |
| Northeast Orhtopaedics & Sports Medicine | Past | Accepting new patients | |
| Integris Cardiovascular Physicians LLC | Past | Accepting new patients |
Locations
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
10512 N 110th East Ave
Ste 100
Owasso, OK 74055
Phone (918) 272-6333
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1265 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 855-2570
Dept 1218
Tulsa, OK 74182
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565
9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820
Interoperability endpoints
- tetyana.klimenko@direct.stjohnhealthsystem.com
- tklimenko558039@ahs.direct-ci.com
- https://api.platform.athenahealth.com/18518/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
OK
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
OK
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1306968839
Hospital & facility affiliations 2
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": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1962744359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8803 S 101ST EAST AVE",
"address_2": "STE 255",
"city": "TULSA",
"state": "OK",
"postal_code": "741335760",
"telephone_number": "918-294-6840",
"fax_number": "918-298-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8803 SOUTH 101ST EAST AVENUE",
"address_2": "SUITE 255",
"city": "TULSA",
"state": "OK",
"postal_code": "741335760",
"telephone_number": "918-294-6840",
"fax_number": "918-298-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMENKO",
"first_name": "TETYANA",
"middle_name": "VOLODYMYRIVNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-23",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "86371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200481450A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; 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.