TRISTYN DANIELLE EDGAR PA - NPI 1417730102 - Physician Assistant in Tulsa, OK

Q: What is Tristyn Edgar's NPI number?

The NPI number for Tristyn Edgar is 1417730102. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Tristyn Edgar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tristyn Edgar was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tristyn Danielle Edgar Pa NPPES

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

TRISTYN DANIELLE EDGAR PA (NPI 1417730102) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5662) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417730102

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTRISTYN DANIELLE EDGARCredential: PA

Location Address1007 S PEORIA AVETulsa, OK 74120-4495

Mailing Address1007 S Peoria AveTulsa, OK 74120-4495 · (918) 858-4661

Phone(918) 858-4661

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 16, 2023

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1417730102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5662

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1007 S PEORIA AVE, Tulsa, OK 74120

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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 and accepts Medicare assignment

Tristyn Danielle Edgar Pa 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 ID6709365067

PECOS Enrollment IDI20260206001425

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74120 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

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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 11

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

SUMMER WILSON THOMPSON RD/LD

Dietitian, Registered