JOHN MATTHEW ANTONELLI
NPI 1902773021
Nurse Practitioner - Family in Sand Springs, OK
About John Matthew Antonelli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MATTHEW ANTONELLI (NPI 1902773021) is an individual family provider in Sand Springs, Oklahoma, licensed in Oklahoma (108524) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
John Matthew Antonelli 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
2Medicare enrollment records show John Antonelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 35 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 263 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 74063 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 John Antonelli's NPI number?
The NPI number for John Antonelli is 1902773021. It was assigned to this individual provider in the NPPES registry on October 22, 2025.
Where is John Antonelli located?
John Antonelli practices at 1313 S 221st West Ave, Sand Springs, OK 74063. The listed phone number is (918) 289-5583.
What is John Antonelli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is John Antonelli enrolled in Medicare?
Yes. John Antonelli 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 John Antonelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Antonelli reassigns Medicare benefits to 2 organizations: Hillcrest Urgent Care, LLC (Tulsa, OK) and Ies ER Oklahoma LLC (Tulsa, 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 John Antonelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Antonelli accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list John Antonelli 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 John Antonelli was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# John Matthew Antonelli · NPI 1902773021
Family physician in Sand Springs, Oklahoma. Individual provider, active in the CMS NPPES registry since October 22, 2025.
## Identity
- **NPI:** 1902773021 (Entity type: Individual)
- **Enumerated:** October 22, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 108524 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1313 S 221ST WEST AVE, Sand Springs, OK 74063-5177
- **Phone:** (918) 289-5583
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hillcrest Urgent Care, LLC (NPI 1417769829, Tulsa, OK); Ies ER Oklahoma LLC (NPI 1447148093, Tulsa, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902773021) · Data from the CMS NPPES public registry.