REGENERATION NATION TULSA LLC
NPI 1205591708
Allergy & Immunology in Tulsa, OK

Q: What is Regeneration Nation Tulsa LLC's NPI number?

The NPI number for Regeneration Nation Tulsa LLC is 1205591708. It was assigned to this organization in the NPPES registry on November 1, 2021.

Q: What is Regeneration Nation Tulsa LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since November 01, 2021

6565 S YALE AVE STE 104, TULSA, OK 74136(918) 481-2772(918) 481-2774 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2025, Nov 1, 2021 (2 updates tracked since 2021).

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About Regeneration Nation Tulsa Llc NPPES

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

REGENERATION NATION TULSA LLC (NPI 1205591708) is a healthcare organization registered as an allergy & immunology in Tulsa, Oklahoma and active in the NPI registry since November 2021. The organization lists Brian Lee Roadhouse, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1205591708

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameREGENERATION NATION TULSA LLC

Location Address6565 S YALE AVE STE 104Tulsa, OK 74136-8302

Mailing Address6565 S Yale Ave Ste 104Tulsa, OK 74136-8302 · (918) 481-2772 · Fax (918) 481-2774

Phone(918) 481-2772

Fax(918) 481-2774

Organization SubpartNo

Authorized OfficialBrian Lee RoadhouseOwner/president · (918) 481-2772

Enumeration DateNovember 1, 2021

Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration

NPPES CertifiedOctober 29, 2025

✔ NPI 1205591708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

6565 S YALE AVE STE 104, Tulsa, OK 74136

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Regeneration Nation Tulsa LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Stookey, FNP-C

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 Tulsa LLC's NPI number?

The NPI number for Regeneration Nation Tulsa LLC is 1205591708. It was assigned to this organization in the NPPES registry on November 1, 2021.

Where is Regeneration Nation Tulsa LLC located?

Regeneration Nation Tulsa LLC is located at 6565 S Yale Ave Ste 104, Tulsa, OK 74136. The listed phone number is (918) 481-2772.

What is Regeneration Nation Tulsa LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Regeneration Nation Tulsa LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Regeneration Nation Tulsa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Regeneration Nation Tulsa LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Regeneration Nation Tulsa LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Regeneration Nation Tulsa LLC 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 Regeneration Nation Tulsa LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.