Active NPI
Vanessa Lynn Zickefoose, APRN-CNP
- Family Nurse Practitioner
- Glenpool, OK
National Provider Identifier
1982205449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0123057
- Practice address
- 12142 S Yukon Ave
Glenpool, OK 74033-6621 - Phone
- (918) 488-8840
- Fax
- (918) 488-8842
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0123057 | OK | Primary |
Addresses
Primary practice location
12142 S Yukon Ave
Glenpool, OK 74033-6621
Mailing address
12142 S Yukon Ave
Glenpool, OK 74033-6621
Phone (918) 488-8840
Other practice location 1
6114 E 61st St
Tulsa, OK 74136-2117
Phone (918) 488-8840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vlzickefoose@premier-rheum.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12142 S Yukon Ave
Glenpool, OK 74033-6621
Phone (918) 488-8840
Hospital & facility affiliations
- Saint Francis Hospital Muskogee
- Stillwater Medical Center
- Saint Francis Hospital South, LLC
- Hillcrest Hospital Henryetta
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.33 of 100
- Quality
- 97.96
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0123057 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rheumatology of Oklahoma | Current | Accepting new patients | |
| Solidaritus Health Group PC | Past | Accepting new patients |
Locations
12142 S Yukon Ave
Glenpool, OK 74033
Phone (918) 417-7773
6114 E 61st St
Tulsa, OK 74136
Phone (918) 488-8840
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- vanessa.brown@214522098548740.direct.elationemr.com
- vanessa.zickefoose.p1@direct.premier-rheum.nextgenshare.com
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Glenpool, OK
- NPI 1891282877
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1477044790
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henryetta, OK
- NPI 1720053556
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1982205449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12142 S YUKON AVE",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740336621",
"telephone_number": "918-488-8840",
"fax_number": "918-488-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12142 S YUKON AVE",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740336621",
"telephone_number": "918-488-8840",
"fax_number": "918-488-8842"
}
],
"practiceLocations": [
{
"address_1": "6114 E 61st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741362117",
"country_code": "US",
"telephone_number": "918-488-8840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZICKEFOOSE",
"first_name": "VANESSA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0123057",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "vlzickefoose@premier-rheum.com",
"affiliation": "N",
"endpointDescription": "Work email",
"address_1": "12142 S YUKON AVE",
"city": "GLENPOOL",
"state": "OK",
"country_code": "US",
"postal_code": "740336621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glenpool, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.