ADDISON ROARK PA
NPI 1225834922
Physician Assistant in Tulsa, OK

Active since February 22, 2025PECOS EnrolledAccepts Medicare Assignment
12902 E 51ST ST STE 3, TULSA, OK 74134(918) 994-3482 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Addison Roark Pa NPPES

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

ADDISON ROARK PA (NPI 1225834922) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5471) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225834922
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADDISON ROARKCredential: PA
Location Address12902 E 51ST ST STE 3Tulsa, OK 74134-6712
Mailing Address4209 N Redbud PlBroken Arrow, OK 74012-0453 · (918) 978-8367
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 22, 2025
NPPES CertifiedFebruary 22, 2025
NPI 1225834922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 5471
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.

12902 E 51ST ST STE 3, Tulsa, OK 74134

Accepted 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

Addison Roark Pa 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 ID4981126083
PECOS Enrollment IDI20250318003204
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 74134 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 3

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

Nurse Practitioner (Family)
12902 E 51ST ST STE 3
TULSA, OK 74134
Nurse Practitioner (Family)
12902 E 51ST ST STE 3
TULSA, OK 74134
Family Medicine
12902 E 51ST ST STE 3
TULSA, OK 74134

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 Addison Roark's NPI number?

The NPI number for Addison Roark is 1225834922. It was assigned to this individual provider in the NPPES registry on February 22, 2025.

Where is Addison Roark located?

Addison Roark practices at 12902 E 51st St Ste 3, Tulsa, OK 74134. The listed phone number is (918) 994-3482.

What is Addison Roark's specialty?

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

Is Addison Roark enrolled in Medicare?

Yes. Addison Roark 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 Addison Roark accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Addison Roark 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 Addison Roark was last updated on February 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.