HEADACHE SPECIALISTS OF OKLAHOMA PLLC
NPI 1417685538
Psychiatry & Neurology - Neurology in Tulsa, OK

Active since August 09, 2022
1516 S YORKTOWN PL, TULSA, OK 74104(918) 574-8725(918) 574-8861 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 16, 2024, Sep 3, 2022, Aug 9, 2022 (3 updates tracked since 2022).

About Headache Specialists Of Oklahoma Pllc NPPES

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

HEADACHE SPECIALISTS OF OKLAHOMA PLLC (NPI 1417685538) is a healthcare organization registered as a neurology in Tulsa, Oklahoma and active in the NPI registry since August 2022. The organization lists Jaclyn R Duvall, Physician, as its authorized official.

NPPES Registry Identity

NPI1417685538
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameHEADACHE SPECIALISTS OF OKLAHOMA PLLC
Location Address1516 S YORKTOWN PLTulsa, OK 74104-4918
Mailing Address1516 S Yorktown PlTulsa, OK 74104-4918 · (918) 574-8725 · Fax (918) 574-8861
Fax(918) 574-8861
Organization SubpartNo
Authorized OfficialJaclyn R DuvallPhysician · (918) 574-8725
Enumeration DateAugust 9, 2022
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1417685538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1516 S YORKTOWN PL, Tulsa, OK 74104

Other Identifiers 1

Medicaid200444390BOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Headache Specialists Of Oklahoma Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Headache Specialists Of Oklahoma PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Neurology
NPI 1740541473
1516 S YORKTOWN PL
Tulsa, OK 74104
(918) 574-8725
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417453853
1516 S YORKTOWN PL
Tulsa, OK 74104
(918) 574-8725
✔ PECOSSame address
Nurse Practitioner
NPI 1548662612
1516 S YORKTOWN PL
Tulsa, OK 74104
(918) 574-8725
✔ PECOSSame address

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

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 Headache Specialists Of Oklahoma PLLC's NPI number?

The NPI number for Headache Specialists Of Oklahoma PLLC is 1417685538. It was assigned to this organization in the NPPES registry on August 9, 2022.

Where is Headache Specialists Of Oklahoma PLLC located?

Headache Specialists Of Oklahoma PLLC is located at 1516 S Yorktown Pl, Tulsa, OK 74104. The listed phone number is (918) 574-8725.

What is Headache Specialists Of Oklahoma PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Headache Specialists Of Oklahoma PLLC enrolled in Medicare?

Yes. Headache Specialists Of Oklahoma PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Headache Specialists Of Oklahoma PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Headache Specialists Of Oklahoma PLLC, in Neurology and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Headache Specialists Of Oklahoma PLLC was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.