NICKOLAS BRYANT CAMPBELL
NPI 1689308918
Physician Assistant in Tulsa, OK

Q: What is Nickolas Campbell's NPI number?

The NPI number for Nickolas Campbell is 1689308918. It was assigned to this individual provider in the NPPES registry on July 12, 2022. The provider is also known as Nick Bryant Campbell.

Q: What is Nickolas Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nickolas Campbell was last updated on January 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment

2488 E 81ST ST STE 290, TULSA, OK 74137(918) 494-2665(918) 927-3201 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2024, Jul 12, 2022 (2 updates tracked since 2022).

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About Nickolas Bryant Campbell NPPES

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

NICKOLAS BRYANT CAMPBELL (NPI 1689308918) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5439) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Surgical Hospital, Llc, and is a graduate of University Of Oklahoma College Of Medicine (2024).

NPPES Registry Identity

NPI1689308918

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNICKOLAS BRYANT CAMPBELL

Location Address2488 E 81ST ST STE 290Tulsa, OK 74137-4299

Mailing Address2488 E 81st St Ste 290Tulsa, OK 74137-4299 · (918) 494-2665 · Fax (918) 927-3193

Phone(918) 494-2665

Fax(918) 927-3201

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2024

Enumeration DateJuly 12, 2022

Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1689308918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5439

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2488 E 81ST ST STE 290, Tulsa, OK 74137

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Other Names 1

Other Name (5)Nick Bryant Campbell

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Nickolas Bryant Campbell 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 ID5193254050

PECOS Enrollment IDI20250122003671

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.

Hospital Affiliations CMS Care Compare 2

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

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370210

Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County

Emergency services

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370235

Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74137 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.

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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.

BAILEY CLARK PTA

Physical Therapy Assistant