BETSY JEAN GRAHAM-MOELLER APRN, FNP
NPI 1568992071
Nurse Practitioner - Family in Broken Arrow, OK

Q: What is Betsy Graham-moeller's NPI number?

The NPI number for Betsy Graham-moeller is 1568992071. It was assigned to this individual provider in the NPPES registry on June 16, 2017.

Q: What is Betsy Graham-moeller's specialty?

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

Active since June 16, 2017PECOS EnrolledAccepts Medicare Assignment

91.24/100

CMS Quality Rating

1130 E LANSING ST, BROKEN ARROW, OK 74012(918) 258-9990 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2023, Jun 29, 2017, Jun 16, 2017 (3 updates tracked since 2017).

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About Betsy Jean Graham-moeller Aprn, Fnp NPPES

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

BETSY JEAN GRAHAM-MOELLER APRN, FNP (NPI 1568992071) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (R0086765) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Council Oak Comprehensive Healthcare, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1568992071

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETSY JEAN GRAHAM-MOELLERCredential: APRN, FNP

Location Address1130 E LANSING STBroken Arrow, OK 74012-2429

Mailing Address6600 S Yale Ave Ste 1200Tulsa, OK 74136-3361

Phone(918) 258-9990

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 16, 2017

Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1568992071 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 · R0086765

1130 E LANSING ST, Broken Arrow, OK 74012

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Secondary Practice Location 1

Location 17858 S Olympia AveTulsa, OK 74132-1857 · Phone (918) 986-9250 · Fax (918) 986-9205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Betsy Jean Graham-moeller Aprn, Fnp 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 ID6800160409

PECOS Enrollment IDI20250507002274

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.

Medicare Billing Reassignments

Medicare enrollment records show Betsy Graham-moeller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Warren Clinic Inc

8.2 mi

General Practice

6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136

Reassigned Medicare billing, Oklahoma enrollment
1,144 clinicians in this Medicare group

NPI 1174582282 (918) 488-6001

Advanced Wound Therapy

10 mi

Family Medicine

2488 E 81ST ST STE 2000
Tulsa, OK 74137

Reassigned Medicare billing, Oklahoma enrollment
22 clinicians in this Medicare group

NPI 1922719095 (918) 592-9020

Creek Nation Hospital & Clinics

30 mi

Clinic/Center

2900 N MAIN ST
Muskogee, OK 74401

Reassigned Medicare billing, Texas enrollment
655 clinicians in this Medicare group

NPI 1922873611 (918) 346-7833

Metro Infectious Disease Consultants, LLC

577 mi

Infectious Disease

901 MCCLINTOCK DR, SUITE 202
Burr Ridge, IL 60527

Reassigned Medicare billing, Oklahoma enrollment
4 clinicians in this Medicare group

NPI 1235125717 (888) 220-6432

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

Hospital Affiliations CMS Care Compare

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

Council Oak Comprehensive Healthcare

Acute Care Hospitals · Tulsa, OK

OwnershipTribal

CMS Certification Number370244

Location10109 E 79th StTulsa, OK 74133 · Tulsa County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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.

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

Quality

74.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC

Family Medicine