REGENERATION NATION LLC
NPI 1164060158
Family Medicine in Tulsa, OK

Active since December 20, 2019
6565 S YALE AVE STE 106, TULSA, OK 74136(918) 481-2772 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2021, Feb 4, 2021, Dec 20, 2019 (3 updates tracked since 2019).

About Regeneration Nation Llc NPPES

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

REGENERATION NATION LLC (NPI 1164060158) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since December 2019. The organization lists Brian Roadhouse, Owner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164060158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREGENERATION NATION LLC
Location Address6565 S YALE AVE STE 106Tulsa, OK 74136-8302
Mailing Address6565 S Yale AveTulsa, OK 74136-8327
Organization SubpartNo
Authorized OfficialBrian RoadhouseOwner, Authorized Official · (918) 481-2772
Enumeration DateDecember 20, 2019
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1164060158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
6565 S YALE AVE STE 106, Tulsa, OK 74136

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regeneration Nation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Regeneration Nation LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1477559201
6565 S YALE AVE STE 106
Tulsa, OK 74136
(918) 481-2770
✔ Accepts MedicareSame address
Anesthesiology
NPI 1295710846
608 NW 9TH ST STE 6210
Oklahoma City, OK 73102
(405) 524-4105
✔ PECOS✔ Accepts Medicare99 mi
Nurse Practitioner
NPI 1669944666
7 MEDICAL DR
Amarillo, TX 79106
(806) 355-9355
✔ PECOS✔ Accepts Medicare341 mi

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

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 Regeneration Nation LLC's NPI number?

The NPI number for Regeneration Nation LLC is 1164060158. It was assigned to this organization in the NPPES registry on December 20, 2019.

Where is Regeneration Nation LLC located?

Regeneration Nation LLC is located at 6565 S Yale Ave Ste 106, Tulsa, OK 74136. The listed phone number is (918) 481-2772.

What is Regeneration Nation LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Regeneration Nation LLC enrolled in Medicare?

Yes. Regeneration Nation LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regeneration Nation LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Regeneration Nation LLC, in Anesthesiology, Chiropractic and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regeneration Nation LLC was last updated on March 26, 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.