Dr Nicholas L Zumwalt, RN - Medicare Nurse Practitioner in Broken Arrow, OK

Dr Nicholas L Zumwalt, RN is a medicare enrolled "Nurse Practitioner - Family" in Broken Arrow, Oklahoma. His current practice location is 4623 W Kenosha St, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 461-0422.

Dr Nicholas L Zumwalt is licensed to practice in Oklahoma (license number 204532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992388284.

Contact Information

Dr Nicholas L Zumwalt, RN
4623 W Kenosha St,
Broken Arrow, OK 74012-8975
(918) 461-0422
Not Available

Map and Direction




Provider's Profile

Full NameDr Nicholas L Zumwalt
GenderMale
SpecialityNurse Practitioner - Family
Location4623 W Kenosha St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992388284
  • Provider Enumeration Date: 05/04/2021
  • Last Update Date: 07/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082096748
  • Enrollment ID: I20220729002156

Medical Identifiers

Medical identifiers for Dr Nicholas L Zumwalt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992388284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 204532 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicholas L Zumwalt allows following entities to bill medicare on his behalf.
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467053173
PECOS PAC ID: 5698786226
Enrollment ID: O20210226001928

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas L Zumwalt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicholas L Zumwalt, RN
4105 S Chestnut Ave,
Broken Arrow, OK 74011-1461

Ph: (918) 760-2853
Dr Nicholas L Zumwalt, RN
4623 W Kenosha St,
Broken Arrow, OK 74012-8975

Ph: (918) 461-0422

Reviews and Comments


Nurse Practitioner Nurses in Broken Arrow, OK

Carmen Kay Oakes, ARNP-C
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Phone: 918-764-9300    Fax: 918-764-9275
Mrs. Kristi Gene Sager, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012
Phone: 918-693-0834    
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Medicare: Accepting Medicare Assignments
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-0414    
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Phone: 918-258-2952    
Ms. Jamie Larie Kitchens, DNP, APRN, CNP
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Medicare: Medicare Enrolled
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-455-0414
Mrs. Christina Lou Martin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1551 N 9th St, Broken Arrow, OK 74012
Phone: 918-355-7900    Fax: 918-355-7929

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.