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KELSEY DONNETTE KRUCKEBERG APRN-CNP
NPI 1356994974
Nurse Practitioner - Family in Tulsa, OK

Active since July 23, 2019PECOS Enrolled
8115 S MEMORIAL DR, TULSA, OK 74133(918) 254-6315 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Donnette Kruckeberg Aprn-cnp NPPES

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

KELSEY DONNETTE KRUCKEBERG APRN-CNP (NPI 1356994974) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (R0114800) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356994974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY DONNETTE KRUCKEBERGCredential: APRN-CNP
Location Address8115 S MEMORIAL DRTulsa, OK 74133-4331
Mailing Address11528 S Mulberry LnJenks, OK 74037-2123
Phone(918) 254-6315
Sole ProprietorNo
Enumeration DateJuly 23, 2019
✔ NPI 1356994974 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 · R0114800
8115 S MEMORIAL DR, Tulsa, OK 74133
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Donnette Kruckeberg 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.

Areas of Expertise CMS Part B claims

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 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

PATRICIA DUFFY-FEINS MA, MSW
Counselor
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
ADAM BENJAMIN GREER DO
Family Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
STEPHANIE RUSSELL P.A.
Physician Assistant (Medical)
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
MRS. DANA BRICHT HIGBEE APRN-CNP
Nurse Practitioner (Family)
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
TERESA KLINE NP
Nurse Practitioner
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
RITA WESTENHAVER DO
Family Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
STEPHEN CALVERT M.D.
Internal Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315
MRS. AMBER CARTWRIGHT APRN
Family Medicine
8115 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 254-6315

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 Kelsey Kruckeberg's NPI number?

The NPI number for Kelsey Kruckeberg is 1356994974. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Kelsey Kruckeberg located?

Kelsey Kruckeberg practices at 8115 S Memorial Dr, Tulsa, OK 74133. The listed phone number is (918) 254-6315.

What is Kelsey Kruckeberg's specialty?

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

Is Kelsey Kruckeberg enrolled in Medicare?

Yes. Kelsey Kruckeberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Kruckeberg was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.