DR. NICHOLAS L ZUMWALT RN
NPI 1992388284
Nurse Practitioner - Family in Broken Arrow, OK

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
4623 W KENOSHA ST, BROKEN ARROW, OK 74012(918) 461-0422 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Jul 26, 2021, May 4, 2021 (3 updates tracked since 2021).

About Dr. Nicholas L Zumwalt Rn NPPES

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

DR. NICHOLAS L ZUMWALT RN (NPI 1992388284) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (204532) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992388284
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. NICHOLAS L ZUMWALTCredential: RN
Location Address4623 W KENOSHA STBroken Arrow, OK 74012-8975
Mailing Address4105 S Chestnut AveBroken Arrow, OK 74011-1461 · (918) 760-2853
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 4, 2021
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1992388284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 204532
4623 W KENOSHA ST, Broken Arrow, OK 74012

Secondary Practice Location 1

Location 16160 S Yale Ave Fl 1Tulsa, OK 74136-1930 · Phone (918) 495-2600 · Fax (918) 497-3007

Accepted 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

Dr. Nicholas L Zumwalt Rn 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 ID4082096748
PECOS Enrollment IDI20220907001859
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services40 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
39 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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 4

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

Nurse Practitioner (Family)
4623 W KENOSHA ST
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
4623 W KENOSHA ST
BROKEN ARROW, OK 74012
Clinic/Center
4623 W KENOSHA ST
BROKEN ARROW, OK 74012
Nurse Practitioner
4623 W KENOSHA ST
BROKEN ARROW, OK 74012

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 Nicholas Zumwalt's NPI number?

The NPI number for Nicholas Zumwalt is 1992388284. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Nicholas Zumwalt located?

Nicholas Zumwalt practices at 4623 W Kenosha St, Broken Arrow, OK 74012. The listed phone number is (918) 461-0422.

What is Nicholas Zumwalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicholas Zumwalt enrolled in Medicare?

Yes. Nicholas Zumwalt 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 Nicholas Zumwalt accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Nicholas Zumwalt 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 Nicholas Zumwalt was last updated on September 16, 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.