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DESHELL RAVETTE TILLMAN APRN-FNP
NPI 1396356143
Nurse Practitioner - Family in Oklahoma City, OK

Active since August 14, 2020PECOS Enrolled
1720 NE 23RD ST, OKLAHOMA CITY, OK 73111(405) 280-5550(405) 280-5780 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2022, Jan 6, 2021, Aug 14, 2020 (3 updates tracked since 2020).

About Deshell Ravette Tillman Aprn-fnp NPPES

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

DESHELL RAVETTE TILLMAN APRN-FNP (NPI 1396356143) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R0099284) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1396356143
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESHELL RAVETTE TILLMANCredential: APRN-FNP
Location Address1720 NE 23RD STOklahoma City, OK 73111-3324
Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (727) 322-3439
Phone(405) 280-5550
Fax(405) 280-5780
Sole ProprietorNo
Enumeration DateAugust 14, 2020
Last NPPES UpdateJune 29, 20263 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1396356143 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 · R0099284
1720 NE 23RD ST, Oklahoma City, OK 73111
Open in Google Maps ↗

Secondary Practice Location 1

Location 11501 Biscayne BlvdMiami, FL 33132-1449 · Phone (877) 870-0323 · Fax (866) 427-3798

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deshell Ravette Tillman Aprn-fnp 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 Reassignments

4

Medicare enrollment records show Deshell Tillman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Physicians Group Of Oklahoma, LLC
7.1 mi
Primary Care
2130 SW 59TH ST
Oklahoma City, OK 73119
  • Reassigned Medicare billing, Oklahoma enrollment
  • 51 clinicians in this Medicare group
NPI 1538742051 (312) 733-9730
Best Physicians At Home, Inc
38 mi
General Practice
1920 E 1ST ST
Chandler, OK 74834
  • Reassigned Medicare billing, Oklahoma enrollment
  • 17 clinicians in this Medicare group
NPI 1447659768 (405) 654-0013
National Family Medical Associates, LLC
99 mi
Primary Care
7912 E 31ST CT
Tulsa, OK 74145
  • Reassigned Medicare billing, Oklahoma enrollment
  • 24 clinicians in this Medicare group
NPI 1477287720 (918) 743-8200
Stigler Health And Wellness Center Inc
135 mi
Federally Qualified Health Center (FQHC)
1505 E MAIN ST
Stigler, OK 74462
  • Reassigned Medicare billing, Oklahoma enrollment
  • 61 clinicians in this Medicare group
NPI 1891752853 (918) 967-3368

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 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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services17 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73111 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 7

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

DR. MARIAH JOHNSON DNP, APRN, FNP-C
Nurse Practitioner (Family)
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550
BRIANA AINE MCGINNIS APRN-CNP
Nurse Practitioner (Family)
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550
CENTENNIAL HEALTH, PC
Family Medicine
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550
DR. CHARLES LUNN JR.
Family Medicine
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550
DR. DAVID VU M.D.
Family Medicine
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550
JAMES FOSTER PA
Physician Assistant (Medical)
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550
RYAN W DENNIS MD
Internal Medicine
1720 NE 23RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 280-5550

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 Deshell Tillman's NPI number?

The NPI number for Deshell Tillman is 1396356143. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Deshell Tillman located?

Deshell Tillman practices at 1720 NE 23rd St, Oklahoma City, OK 73111. The listed phone number is (405) 280-5550.

What is Deshell Tillman's specialty?

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

Is Deshell Tillman enrolled in Medicare?

Yes. Deshell Tillman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Deshell Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deshell Tillman reassigns Medicare benefits to 4 organizations: Oak Street Health Physicians Group Of Oklahoma, LLC (Oklahoma City, OK), Best Physicians At Home, Inc (Chandler, OK), National Family Medical Associates, LLC (Tulsa, OK) and Stigler Health And Wellness Center Inc (Stigler, OK). Each 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 Deshell Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deshell Tillman accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Deshell Tillman 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 Deshell Tillman was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.