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ADVANCED PAIN OF TULSA PLLC
NPI 1699246645
Anesthesiology - Pain Medicine in Tulsa, OK

Active since December 16, 2018CLIA 37D2161943 · Accreditation
9320 S MINGO RD, TULSA, OK 74133(918) 901-9702 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2021, Mar 4, 2019, Feb 12, 2019 and 1 more (4 updates tracked since 2018).

About Advanced Pain Of Tulsa Pllc NPPES

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

ADVANCED PAIN OF TULSA PLLC (NPI 1699246645) is a healthcare organization registered as a pain medicine in Tulsa, Oklahoma and active in the NPI registry since December 2018. The organization holds an CLIA Accreditation certificate valid through February 11, 2028 and lists Lam Duy Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1699246645
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameADVANCED PAIN OF TULSA PLLC
Location Address9320 S MINGO RDTulsa, OK 74133-5710
Mailing Address6528 E 101st St Ste D1414Tulsa, OK 74133-6724 · (918) 901-9701 · Fax (918) 901-9702
Phone(918) 901-9702
Organization SubpartNo
Authorized OfficialLam Duy NguyenOwner · (918) 901-9701
Enumeration DateDecember 16, 2018
Last NPPES UpdateSeptember 27, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1699246645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
9320 S MINGO RD, Tulsa, OK 74133
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pain Of Tulsa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Advanced Pain Of Tulsa PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Samantha Campbell, DNP, FNCP, APRN
Nurse Practitioner
NPI 1891260790
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ PECOS✔ Accepts MedicareSame address
Lindsey Groves, ARNP, FNP-BC
Nurse Practitioner
NPI 1932425915
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ PECOS✔ Accepts MedicareSame address
Lam Nguyen, DO
Interventional Pain Management
NPI 1902082258
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ PECOS✔ Accepts MedicareSame address
Kenneth Reed, MD
Pain Management
NPI 1033315437
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ PECOS✔ Accepts MedicareSame address
Jeri Townsend, NP
Nurse Practitioner
NPI 1407818420
9320 S MINGO RD
Tulsa, OK 74133
(918) 901-9701
✔ PECOS✔ Accepts MedicareSame address
Bryan Van Doren, M.D.
Addiction Medicine
NPI 1447298120
6130 E 81ST ST
Tulsa, OK 74137
(918) 401-1002
✔ PECOS✔ Accepts Medicare2.5 mi
Johna Smasal, PH.D.
Clinical Psychologist
NPI 1578602801
4612 S HARVARD AVE STE A
Tulsa, OK 74135
(918) 747-5565
✔ PECOS✔ Accepts Medicare6.2 mi

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 Accreditation 37D2161943

Advanced Pain Of Tulsa · Tulsa, OK
Active · expires Feb 11, 2028
CLIA Number37D2161943
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorRobert Johnson
Laboratory Phone(918) 901-9701
Laboratory LocationAdvanced Pain Of Tulsa9320 S Mingo Rd, Tulsa, OK 74133
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Advanced Pain Of Tulsa PLLC's NPI number?

The NPI number for Advanced Pain Of Tulsa PLLC is 1699246645. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Advanced Pain Of Tulsa PLLC located?

Advanced Pain Of Tulsa PLLC is located at 9320 S Mingo Rd, Tulsa, OK 74133. The listed phone number is (918) 901-9702.

What is Advanced Pain Of Tulsa PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Advanced Pain Of Tulsa PLLC enrolled in Medicare?

Yes. Advanced Pain Of Tulsa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Pain Of Tulsa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Advanced Pain Of Tulsa 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. The largest specialties are Nurse Practitioner (3), Addiction Medicine (1) and Clinical Psychologist (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Pain Of Tulsa PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 37D2161943) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Pain Of Tulsa PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Advanced Pain Of Tulsa PLLC 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.

When was this NPI record last updated?

The NPPES record for Advanced Pain Of Tulsa PLLC was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.