LISA RENEE DAUTENHAHN ARNP
NPI 1104894658
Nurse Practitioner in Tulsa, OK

Q: What is Lisa Dautenhahn's NPI number?

The NPI number for Lisa Dautenhahn is 1104894658. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is Lisa Dautenhahn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Dautenhahn was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 10, 2006PECOS Enrolled

10505 E 91ST ST, SUITE 110, TULSA, OK 74133(918) 307-3200 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Lisa Renee Dautenhahn Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA RENEE DAUTENHAHN ARNP (NPI 1104894658) is an individual nurse practitioner in Tulsa, Oklahoma, licensed in Oklahoma (R0042544) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104894658

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA RENEE DAUTENHAHNCredential: ARNP

Location Address10505 E 91ST ST, SUITE 110Tulsa, OK 74133-5801

Mailing Address6600 S Yale Ave, Suite 1400Tulsa, OK 74136-3310 · (918) 488-6001

Phone(918) 307-3200

Sole ProprietorNo

Enumeration DateMarch 10, 2006

Last NPPES UpdateMarch 4, 2010

✔ NPI 1104894658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · R0042544

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10505 E 91ST ST, Tulsa, OK 74133

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Other Identifiers 1

Medicare UPINS53529OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Renee Dautenhahn Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Dautenhahn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Warren Clinic Inc

4.4 mi

General Practice

6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136

Reassigned Medicare billing, Oklahoma enrollment
1,144 clinicians in this Medicare group

NPI 1174582282 (918) 488-6001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services74 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services36 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers15 claims28 services$6.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANDREW GOTTEHRER M.D.

Internal Medicine (Pulmonary Disease)

10505 E 91ST ST, SUITE 208
TULSA, OK 74133

Tulsa County (918) 307-5470

DR. ANDREW LOTT BARKER M.D.

Pain Medicine (Pain Medicine)

10505 E 91ST ST, SUITE 205
TULSA, OK 74133

Tulsa County (918) 307-5470

GASTROENTEROLOGY ASSOCIATES PLLC

Internal Medicine (Gastroenterology)

10505 E 91ST ST, SUITE 200
TULSA, OK 74133

Tulsa County (918) 307-3144

SHELBY COLEMAN M.D.

Obstetrics & Gynecology

10505 E 91ST ST
TULSA, OK 74133

Tulsa County (918) 488-6688

RAYMATTIE SINGH MD

Family Medicine

10505 E 91ST ST
TULSA, OK 74133

Tulsa County (918) 494-5346

SARA HART APRN

Nurse Practitioner (Acute Care)

10505 E 91ST ST
TULSA, OK 74133

Tulsa County (918) 307-5490

JOHN G IVANOFF M.D.

Internal Medicine (Interventional Cardiology)

10505 E 91ST ST, SUITE 208
TULSA, OK 74133

Tulsa County (918) 494-8500

TAMARA L MADJID APRN

Nurse Practitioner (Obstetrics & Gynecology)

10505 E 91ST ST, SUITE 203
TULSA, OK 74133

Tulsa County (918) 382-5399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Dautenhahn's NPI number?

The NPI number for Lisa Dautenhahn is 1104894658. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Lisa Dautenhahn located?

Lisa Dautenhahn practices at 10505 E 91st St Suite 110, Tulsa, OK 74133. The listed phone number is (918) 307-3200.

What is Lisa Dautenhahn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Dautenhahn enrolled in Medicare?

Yes. Lisa Dautenhahn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Dautenhahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Dautenhahn reassigns Medicare benefits to Warren Clinic Inc (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Dautenhahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Dautenhahn was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.