MR. JONATHAN W POOLER APRN-CNP, PMHNP-BC
NPI 1831932433
Nurse Practitioner - Psychiatric/Mental Health in Vinita, OK

Active since June 13, 2024PECOS Enrolled
411 1/2 N WILSON ST, VINITA, OK 74301(539) 937-1715(539) 937-1735 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, May 13, 2025, Aug 12, 2024 and 2 more (5 updates tracked since 2024).

About Mr. Jonathan W Pooler Aprn-cnp, Pmhnp-bc NPPES

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

MR. JONATHAN W POOLER APRN-CNP, PMHNP-BC (NPI 1831932433) is an individual psychiatric/mental health provider in Vinita, Oklahoma, licensed in Oklahoma (218365) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1831932433
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JONATHAN W POOLERCredential: APRN-CNP, PMHNP-BC
Location Address411 1/2 N WILSON STVinita, OK 74301
Mailing Address411 1/2 N Wilson StVinita, OK 74301 · (539) 937-1715 · Fax (539) 937-1735
Fax(539) 937-1735
Sole ProprietorYes
Enumeration DateJune 13, 2024
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1831932433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OK · 218365
411 1/2 N WILSON ST, Vinita, OK 74301

Secondary Practice Location 1

Location 19912 E 21st StTulsa, OK 74129-1620 · Phone (539) 525-0053

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan W Pooler Aprn-cnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Pooler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1323 E 71ST ST
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 13 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74301 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
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
411 1/2 N WILSON ST
VINITA, OK 74301

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 Jonathan Pooler's NPI number?

The NPI number for Jonathan Pooler is 1831932433. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Jonathan Pooler located?

Jonathan Pooler practices at 411 1/2 N Wilson St, Vinita, OK 74301. The listed phone number is (539) 937-1715.

What is Jonathan Pooler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Pooler enrolled in Medicare?

Yes. Jonathan Pooler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Pooler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Pooler reassigns Medicare benefits to Counseling & Recovery Services Of Oklahoma, Inc. (Tulsa, OK). The 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 Jonathan Pooler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Pooler accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Jonathan Pooler 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 Jonathan Pooler was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.