Individual provider Active NPI

Brice Harader-Pate, APRN-CNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1962894519
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103776 Issued in OK
Practice address
11106 S Yale Ave
Tulsa, OK 74137-7620
Phone
(918) 895-7000
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 103776 OK
Family Nurse Practitioner 363LF0000X 103776 OK Primary

Addresses

Primary practice location

11106 S Yale Ave
Tulsa, OK 74137-7620

Mailing address

5215 S Hudson PL
Tulsa, OK 74135-7510

Other practice location 1

6160 S Yale Ave Fl 1
Tulsa, OK 74136-1930
Phone (918) 495-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151012000757 OK Practitioner - Nurse Practitioner 9032425111 Reassigns benefits to 4 organizations
I20260323003380 KS Practitioner - Nurse Practitioner 9032425111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 E 5TH Ave
Winfield, KS 67156-2407

6401 Patterson Pkwy
Arkansas City, KS 67005-5701

Hospital & facility affiliations

  • SCK Health Hospital, Arkansas City, KS, CCN 170779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103776OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Tulsa County, LLC CurrentSince Sep 1, 2017 Accepting new patients
Advanced Wound Therapy CurrentSince Aug 12, 2024 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Aug 15, 2023 Accepting new patients
Well Life Family Medicine Inc Past Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

2448 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 236-4000

2488 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 803-1190

Organizations & group practices 6

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 1

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": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962894519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 S HUDSON PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11106 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377620",
            "telephone_number": "918-895-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 S Yale Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361930",
            "country_code": "US",
            "telephone_number": "918-495-2600",
            "fax_number": "918-497-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARADER-PATE",
        "first_name": "BRICE",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "103776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "103776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.