HOLLY RENEE LAVENDER PA-C
NPI 1184197899
Physician Assistant in Tulsa, OK

Q: What is Holly Lavender's NPI number?

The NPI number for Holly Lavender is 1184197899. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Q: What is Holly Lavender's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Lavender was last updated on September 28, 2023. 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.

Active since January 04, 2019PECOS EnrolledAccepts Medicare Assignment

6161 S YALE AVE, TULSA, OK 74136(918) 392-4685(918) 392-4693 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Holly Renee Lavender Pa-c NPPES

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

HOLLY RENEE LAVENDER PA-C (NPI 1184197899) is an individual physician assistant in Tulsa, Oklahoma and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184197899

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHOLLY RENEE LAVENDERCredential: PA-C

Location Address6161 S YALE AVETulsa, OK 74136-1902

Mailing Address6839 S Canton AveTulsa, OK 74136-3402 · (918) 392-4685 · Fax (918) 392-4693

Phone(918) 392-4685

Fax(918) 392-4693

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 4, 2019

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1184197899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6161 S YALE AVE, Tulsa, OK 74136

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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.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

Holly Renee Lavender Pa-c 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 ID7911352620

PECOS Enrollment IDI20231016003542

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.

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.

517 services446 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

170 services155 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.

33 services33 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370025

Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County

Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370091

Location6161 South YaleTulsa, OK 74136 · Tulsa County

Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370218

Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County

Emergency services Birthing friendly

Saint Francis Hospital Vinita, Inc

Acute Care Hospitals · Vinita, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370237

Location735 North Foreman StreetVinita, OK 74301 · Craig County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 20

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

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