Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Deshell Tillman'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 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 42 days 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 August 14, 2020PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

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

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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, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, 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

Medical School CMSOtherGraduated 2019

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

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

Deshell Ravette Tillman Aprn-fnp 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 ID9830508803

PECOS Enrollment IDI20210503002253

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 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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

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 8

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)