Individual provider Active NPI

Tetyana Volodymyrivna Klimenko, APRN

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1962744359
Registry record updated May 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
86371 Issued in OK
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

Updated by the provider on May 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200481450AMedicaidOK

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
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
Ahs Oklahoma Heart LLCGroup PAC ID 4587737135, 130 clinicians
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians

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 Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Aug 10, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Nov 25, 2021 Accepting new patients
St. John Physicians, Inc CurrentSince Aug 10, 2015 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Oct 11, 2024 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC CurrentSince Feb 1, 2022 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Nov 22, 2021 Accepting new patients
Ahs Oklahoma Heart LLC CurrentSince Aug 23, 2024 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

  • Direct secure messaging: tetyana.klimenko@direct.stjohnhealthsystem.com
  • Direct secure messaging: tklimenko558039@ahs.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.