DR. NICOLE ANN NELLIS D.D.S.
NPI 1487069530
Dentist in Tulsa, OK

Active since June 27, 2014PECOS Enrolled
9314 S DELAWARE AVE, TULSA, OK 74137(918) 518-6305 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2021, Dec 22, 2015 (2 updates tracked since 2015).

About Dr. Nicole Ann Nellis D.d.s. NPPES

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

DR. NICOLE ANN NELLIS D.D.S. (NPI 1487069530) is an individual dentist in Tulsa, Oklahoma, licensed in Oklahoma (6618) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487069530
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NICOLE ANN NELLISCredential: D.D.S.
Location Address9314 S DELAWARE AVETulsa, OK 74137-5600
Mailing Address9314 S Delaware AveTulsa, OK 74137-5600 · (918) 518-6305
Sole ProprietorNo
Enumeration DateJune 27, 2014
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1487069530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OK · 6618
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

9314 S DELAWARE AVE, Tulsa, OK 74137

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicole Ann Nellis D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74137 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

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

Dentist (General Practice)
9314 S DELAWARE AVE
TULSA, OK 74137

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 Nicole Nellis's NPI number?

The NPI number for Nicole Nellis is 1487069530. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Nicole Nellis located?

Nicole Nellis practices at 9314 S Delaware Ave, Tulsa, OK 74137. The listed phone number is (918) 518-6305.

What is Nicole Nellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nicole Nellis enrolled in Medicare?

Yes. Nicole Nellis is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Nellis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Nicole Nellis 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 Nicole Nellis was last updated on March 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.