Individual provider Active NPI

Tiffany L Smith, NP

  • Adult Health Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1972803583
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
92149 Issued in OK
Practice address
3400 E Frank Phillips Blvd Ste 603
Bartlesville, OK 74006-2436
Phone
(918) 331-2599
Fax
(918) 331-2598
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 92149 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd Ste 603
Bartlesville, OK 74006-2436

Mailing address

226 SE Debell Ave
Bartlesville, OK 74006-2343
Phone (918) 840-0411

Other practice location 1

226 SE DeBell Ave
Bartlesville, OK 74006-2343
Phone (918) 840-0411

Other identifiers 1

IdentifierTypeStateIssuer
200328140AMedicaidOK

Other names 1

  • Tiffany Lee Hanson Former name

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
I20110715000409 OK Practitioner - Nurse Practitioner 2567630684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92149OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 1, 2014 Accepting new patients
St. John Physicians, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Mark a. Myers, M.D. P.C. Past Accepting new patients

Locations

226 SE Debell Ave
Bartlesville, OK 74006
Phone (918) 333-4020

3400 E Frank Phillips Blvd
Ste 601
Bartlesville, OK 74006
Phone (918) 331-2599

3400 E Frank Phillips Blvd
Ste 603
Bartlesville, OK 74006

224 SE Debell Ave
Bartlesville, OK 74006
Phone (918) 331-1045

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Interoperability endpoints

  • Direct secure messaging: tiffany.smith@direct.stjohnhealthsystem.com

Organizations & group practices 4

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 3

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1972803583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-840-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 603",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062436",
            "telephone_number": "918-331-2599",
            "fax_number": "918-331-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 SE DeBell Ave",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740062343",
            "country_code": "US",
            "telephone_number": "918-840-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "92149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200328140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HANSON",
            "middle_name": "LEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.