LISA ANN BLOXHAM APRN-CNP
NPI 1366904740
Nurse Practitioner - Family in Tulsa, OK

Q: What is Lisa Bloxham's NPI number?

The NPI number for Lisa Bloxham is 1366904740. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Q: What is Lisa Bloxham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Bloxham was last updated on July 17, 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.

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment

84.03/100

CMS Quality Rating

12697 E 51ST ST, TULSA, OK 74146(918) 505-3200 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2019, Apr 3, 2019 (2 updates tracked since 2019).

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About Lisa Ann Bloxham Aprn-cnp NPPES

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

LISA ANN BLOXHAM APRN-CNP (NPI 1366904740) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (99475) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366904740

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ANN BLOXHAMCredential: APRN-CNP

Location Address12697 E 51ST STTulsa, OK 74146-6236

Mailing Address3404 W Knoxville StBroken Arrow, OK 74012-4657 · (918) 645-9411

Phone(918) 505-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 3, 2019

Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration

✔ NPI 1366904740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 99475

Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License R0099475 (OK)

12697 E 51ST ST, Tulsa, OK 74146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Lisa Ann Bloxham Aprn-cnp 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 ID5496083206

PECOS Enrollment IDI20190817000267

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 4

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.

439 services281 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

178 services137 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.

169 services143 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

35 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.28

Promoting Interoperability

Improvement Activities

Cost

49.15

Reported Quality Measures

Advance Care Plan

100%558 patients5/55-star benchmark: 100%

Breast Cancer Screening

89%401 patients4/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

100%179 patients5/55-star benchmark: 87%

Oncology: Medical and Radiation - Plan of Care for Pain

100%72 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

100%907 patients5/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 887 patients

Patients screened: 100% · 887 patients

100%79 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

STEPHANIE ANN ADAME APRN

Nurse Practitioner (Family)