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BENJAMIN WAGGA
NPI 1114761301
Nurse Practitioner - Psychiatric/Mental Health in Tulsa, OK

Active since June 21, 2024PECOS EnrolledAccepts Medicare Assignment
4815 S HARVARD AVE STE 360, TULSA, OK 74135(918) 876-0606(918) 876-0604 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Wagga NPPES

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

BENJAMIN WAGGA (NPI 1114761301) is an individual psychiatric/mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (2024027381) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114761301
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBENJAMIN WAGGA
Location Address4815 S HARVARD AVE STE 360Tulsa, OK 74135-3077
Mailing AddressPo Box 311Jenks, OK 74037-0311 · (918) 876-0606 · Fax (918) 876-0604
Phone(918) 876-0606
Fax(918) 876-0604
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1114761301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OK · 2024027381
4815 S HARVARD AVE STE 360, Tulsa, OK 74135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Wagga is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850824483
PECOS Enrollment IDI20241104002446
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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.

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 Benjamin Wagga's NPI number?

The NPI number for Benjamin Wagga is 1114761301. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Benjamin Wagga located?

Benjamin Wagga practices at 4815 S Harvard Ave Ste 360, Tulsa, OK 74135. The listed phone number is (918) 876-0606.

What is Benjamin Wagga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Benjamin Wagga enrolled in Medicare?

Yes. Benjamin Wagga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Wagga accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Benjamin Wagga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Wagga was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.