MR. JUSTIN DON COLE
NPI 1790211795
Nurse Practitioner - Family in Broken Arrow, OK
About Mr. Justin Don Cole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN DON COLE (NPI 1790211795) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (82942) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Mr. Justin Don Cole 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.
Medicare Billing Reassignments
3Medicare enrollment records show Justin Cole reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74112
- Reassigned Medicare billing, Oklahoma enrollment
- 4 clinicians in this Medicare group
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Oklahoma City, OK 73139
- Reassigned Medicare billing, Oklahoma enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Justin Cole's NPI number?
The NPI number for Justin Cole is 1790211795. It was assigned to this individual provider in the NPPES registry on May 11, 2017.
Where is Justin Cole located?
Justin Cole practices at 3325 S 204th East Ave, Broken Arrow, OK 74014. The listed phone number is (918) 955-1907.
What is Justin Cole's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Cole enrolled in Medicare?
Yes. Justin Cole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Justin Cole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Cole reassigns Medicare benefits to 3 organizations: Hiv Resource Consortium, Inc. (Tulsa, OK), St. John Physicians, Inc. (Tulsa, OK) and At Home By Choice Inc. (Oklahoma City, OK). Each 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 Justin Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Cole accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Justin Cole 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 Justin Cole was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Mr. Justin Don Cole · NPI 1790211795
Family physician in Broken Arrow, Oklahoma. Individual provider, active in the CMS NPPES registry since May 11, 2017.
## Identity
- **NPI:** 1790211795 (Entity type: Individual)
- **Enumerated:** May 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 82942 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3325 S 204TH EAST AVE, Broken Arrow, OK 74014-5165
- **Phone:** (918) 955-1907
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hiv Resource Consortium, Inc. (NPI 1346528718, Tulsa, OK); St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); At Home By Choice Inc. (NPI 1497170609, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790211795) · Data from the CMS NPPES public registry.