MRS. ALISA ANN MILES INTERN
NPI 1194063610
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since January 17, 2013PECOS Enrolled
11740 E 21ST ST, TULSA, OK 74129(918) 437-9495(918) 560-1399 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Alisa Ann Miles Intern NPPES

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

MRS. ALISA ANN MILES INTERN (NPI 1194063610) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194063610
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. ALISA ANN MILESCredential: INTERN
Location Address11740 E 21ST STTulsa, OK 74129-1820
Mailing Address2109 S Highway 69Wagoner, OK 74467-9310 · (918) 708-3006 · Fax (918) 999-0109
Fax(918) 560-1399
Sole ProprietorNo
Enumeration DateJanuary 17, 2013
Last NPPES UpdateMarch 12, 2018
✔ NPI 1194063610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
11740 E 21ST ST, Tulsa, OK 74129

Other Identifiers 1

Medicaid1194063610OK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Alisa Ann Miles Intern 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 Alisa Miles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
4045 NW 64TH ST, STE 520
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 99 clinicians in this Medicare group

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

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.

Behavior Analyst
11740 E 21ST ST
TULSA, OK 74129
Social Worker
11740 E 21ST ST
TULSA, OK 74129
Social Worker (Clinical)
11740 E 21ST ST
TULSA, OK 74129
Social Worker
11740 E 21ST ST
TULSA, OK 74129
Case Manager/Care Coordinator
11740 E 21ST ST
TULSA, OK 74129
Counselor
11740 E 21ST ST
TULSA, OK 74129
Counselor
11740 E 21ST ST
TULSA, OK 74129
Counselor (Professional)
11740 E 21ST ST
TULSA, OK 74129

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 Alisa Miles's NPI number?

The NPI number for Alisa Miles is 1194063610. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Alisa Miles located?

Alisa Miles practices at 11740 E 21st St, Tulsa, OK 74129. The listed phone number is (918) 437-9495.

What is Alisa Miles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alisa Miles enrolled in Medicare?

Yes. Alisa Miles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alisa Miles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Miles reassigns Medicare benefits to Community Pathways Unlimited Inc (Oklahoma City, 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 Alisa Miles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Miles accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Alisa Miles 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 Alisa Miles was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.