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SAMIRA POLINA QUEEN
NPI 1871081703
Nurse Practitioner - Gerontology in Tulsa, OK

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
6465 S YALE AVE STE 910, TULSA, OK 74136(918) 502-3200(918) 502-3205 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2021, Oct 18, 2018, Sep 18, 2018 and 1 more (4 updates tracked since 2018).

About Samira Polina Queen NPPES

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

SAMIRA POLINA QUEEN (NPI 1871081703) is an individual gerontology provider in Tulsa, Oklahoma, licensed in Oklahoma (103075) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871081703
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSAMIRA POLINA QUEEN
Location Address6465 S YALE AVE STE 910Tulsa, OK 74136-7823
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
Phone(918) 502-3200
Fax(918) 502-3205
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateSeptember 7, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1871081703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OK · 103075
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 103075 (OK)
6465 S YALE AVE STE 910, Tulsa, OK 74136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.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

Samira Polina Queen 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 ID4981953767
PECOS Enrollment IDI20180828002551
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 3

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital Vinita, Inc

Acute Care Hospitals · Vinita, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370237
Location735 North Foreman StreetVinita, OK 74301 · Craig County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

HOPE CORDOVA D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-3200
DR. LEE REINHOLD DROEMER M.D.
Pediatrics (Pediatric Pulmonology)
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-2000
ADRIAN NICOLE RATKE PA-C
Physician Assistant
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-3200
DR. JOSEPH WALTER M.D.
Pediatrics (Pediatric Pulmonology)
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-2000
DR. PAUL W KEMPE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-3200
TAYLOR E ISAAC PA-C
Physician Assistant
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-3200
MS. THERESA LYNN ROGERS PA-C
Physician Assistant
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-3200
CYDNEY WIENS PA-C
Physician Assistant
6465 S YALE AVE STE 910
TULSA, OK 74136
Tulsa County (918) 502-3200

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 Samira Queen's NPI number?

The NPI number for Samira Queen is 1871081703. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Samira Queen located?

Samira Queen practices at 6465 S Yale Ave Ste 910, Tulsa, OK 74136. The listed phone number is (918) 502-3200.

What is Samira Queen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Samira Queen enrolled in Medicare?

Yes. Samira Queen 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.

What insurance does Samira Queen accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Samira Queen 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.

Is Samira Queen affiliated with any hospitals?

According to CMS data, Samira Queen is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Saint Francis Hospital Vinita, Inc.

When was this NPI record last updated?

The NPPES record for Samira Queen was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.