MAGNOLIA HEALTH
NPI 1619643483
Nurse Practitioner - Women's Health in Tulsa, OK

Active since August 20, 2021
1919 S WHEELING AVE STE 300, TULSA, OK 74104(918) 794-0701 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 30, 2023, Aug 20, 2021 (2 updates tracked since 2021).

About Magnolia Health NPPES

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

MAGNOLIA HEALTH (NPI 1619643483) is a healthcare organization registered as a women's health in Tulsa, Oklahoma and active in the NPI registry since August 2021. The organization lists Brooke Golwas, Owner & Operator, as its authorized official.

NPPES Registry Identity

NPI1619643483
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameMAGNOLIA HEALTH PLLC
Location Address1919 S WHEELING AVE STE 300Tulsa, OK 74104-5632
Mailing Address1919 S Wheeling Ave Ste 300Tulsa, OK 74104-5632 · (918) 794-0701
Organization SubpartNo
Authorized OfficialBrooke GolwasOwner & Operator · (918) 794-0701
Enumeration DateAugust 20, 2021
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1619643483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1919 S WHEELING AVE STE 300, Tulsa, OK 74104

Other Names 1

Doing Business AsMagnolia Health

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Magnolia Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1801735287
1919 S WHEELING AVE STE 300
Tulsa, OK 74104
(918) 794-0701
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689983553
1919 S WHEELING AVE STE 300
Tulsa, OK 74104
(918) 794-0701
✔ PECOS✔ Accepts MedicareSame address

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

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 Magnolia Health PLLC's NPI number?

The NPI number for Magnolia Health PLLC is 1619643483. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as Magnolia Health.

Where is Magnolia Health PLLC located?

Magnolia Health PLLC is located at 1919 S Wheeling Ave Ste 300, Tulsa, OK 74104. The listed phone number is (918) 794-0701.

What is Magnolia Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Magnolia Health PLLC enrolled in Medicare?

Yes. Magnolia Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Magnolia Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Health PLLC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.