MAGNOLIA HEALTH
NPI 1619643483
Nurse Practitioner - Women's Health in Tulsa, OK
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 holds a CLIA Waiver certificate valid through September 15, 2027 and lists Brooke Golwas, Owner & Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
2Medicare 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)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2236308
Magnolia Health · Tulsa, OKFrequently 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.
Does Magnolia Health PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2236308) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Magnolia Health · NPI 1619643483
Women's Health organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since August 20, 2021.
## Identity
- **NPI:** 1619643483 (Entity type: Organization)
- **Enumerated:** August 20, 2021
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **Legal business name:** Magnolia Health Pllc
- **Organization subpart:** No
- **Authorized official:** Brooke Golwas, OWNER & OPERATOR
## Practice location
- **Address:** 1919 S WHEELING AVE STE 300, Tulsa, OK 74104-5632
- **Phone:** (918) 794-0701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619643483) · Data from the CMS NPPES public registry.