Active NPI
Walter Delong, APRN
- Acute Care Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1992173454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 210113
- Practice address
- 6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807 - Phone
- (918) 712-5000
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN 00150454 | WA | |
| Acute Care Nurse Practitioner | 363LA2100X | 210113 | OK | Primary |
Addresses
Primary practice location
6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Mailing address
6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Phone (918) 712-5000
Other practice location 1
101 S Moore Ave
Claremore, OK 74017-5047
Phone (918) 342-6292
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 |
|---|---|---|---|---|
| I20230202000131 | OK | Practitioner - Nurse Practitioner | 8527430438 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14319 E 500 Rd
Claremore, OK 74019-1871
Phone (918) 803-1559
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Ascension St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 00150454 | WA | MD | Critical Care Medicine Registered Nurse |
| 210113 | OK | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delo Brothers | Current | Accepting new patients |
Locations
1000 W Boise Cir
Fl 3
Broken Arrow, OK 74012
Phone (918) 682-6161
Organizations & group practices 1
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 4
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": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1992173454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 S YALE AVE STE 507",
"city": "TULSA",
"state": "OK",
"postal_code": "741367807",
"telephone_number": "918-712-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 S YALE AVE STE 507",
"city": "TULSA",
"state": "OK",
"postal_code": "741367807",
"telephone_number": "918-712-5000"
}
],
"practiceLocations": [
{
"address_1": "101 S Moore Ave",
"address_purpose": "LOCATION",
"city": "Claremore",
"state": "OK",
"postal_code": "740175047",
"country_code": "US",
"telephone_number": "918-342-6292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELONG",
"first_name": "WALTER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WA",
"license": "RN 00150454",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "210113",
"primary": true
}
],
"identifiers": [],
"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 Aug 30, 2022; 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.