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NICHOLE REYNOLDS
NPI 1518409911
Nurse Practitioner - Family in Tulsa, OK

Active since November 16, 2016PECOS Enrolled
1145 S UTICA AVE STE 460, TULSA, OK 74104(918) 579-5749(918) 579-5762 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 20, 2019, Jan 18, 2017, Nov 16, 2016 (3 updates tracked since 2016).

About Nichole Reynolds NPPES

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

NICHOLE REYNOLDS (NPI 1518409911) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (99812) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518409911
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLE REYNOLDS
Location Address1145 S UTICA AVE STE 460Tulsa, OK 74104-4041
Mailing Address1145 S Utica Ave Ste 460Tulsa, OK 74104-4041 · (918) 579-5762 · Fax (918) 579-5762
Phone(918) 579-5749
Fax(918) 579-5762
Sole ProprietorNo
Enumeration DateNovember 16, 2016
Last NPPES UpdateJune 20, 20193 updates tracked since enumeration
✔ NPI 1518409911 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 · 99812
1145 S UTICA AVE STE 460, Tulsa, OK 74104
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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 (PECOS)

Nichole Reynolds 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 74104 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$915.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$62.40 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$28.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

LINDA NGORIMA APRN
Nurse Practitioner (Family)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
WENDY ALEXANDER APRN, FNP-C
Nurse Practitioner (Family)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
MR. STANLEY TALLON JR. APRN
Nurse Practitioner (Acute Care)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
DR. GULSHAN DANGOL M.D.
Hospitalist
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
JENNIFER MARIE SMITH-WOOSLEY APRN-CNP
Nurse Practitioner (Family)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
MR. KIM CAMPBELL PAC
Physician Assistant (Medical)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
RICCARDO GIGANTE DO
Internal Medicine
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749
MORAD EL-RAHEB MD INC PC
Internal Medicine
1145 S UTICA AVE STE 460
TULSA, OK 74104
Tulsa County (918) 579-5749

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 Nichole Reynolds's NPI number?

The NPI number for Nichole Reynolds is 1518409911. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Where is Nichole Reynolds located?

Nichole Reynolds practices at 1145 S Utica Ave Ste 460, Tulsa, OK 74104. The listed phone number is (918) 579-5749.

What is Nichole Reynolds's specialty?

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

Is Nichole Reynolds enrolled in Medicare?

Yes. Nichole Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nichole Reynolds was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.