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NICOLE COBURN
NPI 1558903369
Physician Assistant in Tulsa, OK

Active since October 14, 2019PECOS EnrolledAccepts Medicare Assignment
91.24/100
CMS Quality Rating
1923 S UTICA AVE, TULSA, OK 74104(918) 748-7591(918) 403-6352 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2020, Oct 14, 2019 (2 updates tracked since 2019).

About Nicole Coburn NPPES

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

NICOLE COBURN (NPI 1558903369) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (3176) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558903369
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE COBURN
Location Address1923 S UTICA AVETulsa, OK 74104-6520
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (918) 748-7591 · Fax (918) 403-6352
Phone(918) 748-7591
Fax(918) 403-6352
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 14, 2019
Last NPPES UpdateApril 3, 20202 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1558903369 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 · 3176
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.
1923 S UTICA AVE, Tulsa, OK 74104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

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

Nicole Coburn 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 ID7517397409
PECOS Enrollment IDI20200416001368
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services35 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.13
Promoting Interoperability100
Improvement Activities40

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.

AALOK DEEP BISHWAS MD
Internal Medicine
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (845) 420-0558
WILLIAM FREDERICK FITTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 744-2553
ST JOHN URGENT CARE CLINICS INC
Clinic/Center (Urgent Care)
1923 S UTICA AVE, DAVIS TOWER 200
TULSA, OK 74104
Tulsa County (918) 744-2345
MEGGIE FINLEY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 102-0057
STEPHANIE CAY HOLT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 744-2553
ROBERT BLANKENSHIP MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 712-3366
CHRISTOPHER THOMAS WARD CRNA
Nurse Anesthetist, Certified Registered
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 744-2362
LINDSEY WEDLAKE APRN
Nurse Practitioner
1923 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 744-3131

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 Coburn's NPI number?

The NPI number for Nicole Coburn is 1558903369. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Nicole Coburn located?

Nicole Coburn practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 748-7591.

What is Nicole Coburn's specialty?

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

Is Nicole Coburn enrolled in Medicare?

Yes. Nicole Coburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Coburn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Nicole Coburn 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.

Is Nicole Coburn affiliated with any hospitals?

According to CMS data, Nicole Coburn is affiliated with Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Coburn was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.