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MRS. DEANDRA LYNETTE ANTWINE APRN-CNP
NPI 1295404994
Nurse Practitioner - Family in Tulsa, OK

Active since September 07, 2021PECOS Enrolled
591 E 36TH ST N, TULSA, OK 74106(918) 619-4400(918) 634-7875 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2024, Oct 8, 2021, Sep 7, 2021 (3 updates tracked since 2021).

About Mrs. Deandra Lynette Antwine Aprn-cnp NPPES

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

MRS. DEANDRA LYNETTE ANTWINE APRN-CNP (NPI 1295404994) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (200784) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295404994
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEANDRA LYNETTE ANTWINECredential: APRN-CNP
Location Address591 E 36TH ST NTulsa, OK 74106-1812
Mailing Address6725 S Quincy AveTulsa, OK 74136-3803 · (918) 510-8266
Phone(918) 619-4400
Fax(918) 634-7875
Sole ProprietorYes
Enumeration DateSeptember 7, 2021
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1295404994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 200784
591 E 36TH ST N, Tulsa, OK 74106
Open in Google Maps ↗

Other Identifiers 1

Medicaid201024480AOK

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deandra Lynette Antwine Aprn-cnp 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 Deandra Antwine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
8.0 mi
Multi-Specialty
4502 E 41ST ST
Tulsa, OK 74135
  • Reassigned Medicare billing, Oklahoma enrollment
  • 124 clinicians in this Medicare group
NPI 1154385730 (918) 660-3632

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

Areas of Expertise CMS Part B claims 2

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.
26 services19 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74106 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
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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.

ANGELA DENE BOLZ D.O.
Internal Medicine (Nephrology)
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 619-4400
PRANAY KATHURIA MD FACP
Internal Medicine (Nephrology)
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 619-4400
MR. FRED GARFINKEL M.D.
Internal Medicine (Pulmonary Disease)
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 619-8700
DR. CRYSTA CHATMAN M.D.
Family Medicine
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 619-4400
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Social Worker (Clinical)
591 E 36TH ST N, STE 200
TULSA, OK 74106
Tulsa County (918) 619-4400
MICHAEL KARATHANOS MD
Psychiatry & Neurology (Neurology)
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 634-7817
MALCOLM L. BUFORD JR. MD
Internal Medicine (Nephrology)
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 619-4888
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Pediatrics
591 E 36TH ST N
TULSA, OK 74106
Tulsa County (918) 619-8700

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 Deandra Antwine's NPI number?

The NPI number for Deandra Antwine is 1295404994. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Deandra Antwine located?

Deandra Antwine practices at 591 E 36th St N, Tulsa, OK 74106. The listed phone number is (918) 619-4400.

What is Deandra Antwine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deandra Antwine enrolled in Medicare?

Yes. Deandra Antwine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deandra Antwine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deandra Antwine reassigns Medicare benefits to Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa (Tulsa, 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 Deandra Antwine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deandra Antwine accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Deandra Antwine 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 Deandra Antwine was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.