Jonathan Daniel Bouldin, APRN-CNP in Tulsa, OK

Jonathan Daniel Bouldin, APRN-CNP is a medicare enrolled "Nurse Practitioner" in Tulsa, Oklahoma. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Adult Gastroenterology Associates Inc and his current practice location is 1265 S Utica Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 592-0999.

Jonathan Daniel Bouldin is licensed to practice in Oklahoma (license number 114696) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447735055.

Contact Information

	Jonathan Daniel Bouldin, APRN-CNP
	1265 S Utica Ave, Tulsa, OK 74104-4243
	(918) 592-0999
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Daniel Bouldin
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1265 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Daniel Bouldin graduated from nursing school in 2018

NPI Data:

NPI Number: 1447735055
Provider Enumeration Date: 09/28/2018
Last Update Date: 09/28/2018

Medicare PECOS Information:

PECOS PAC ID: 7012252190
Enrollment ID: I20181218001495

Medical Identifiers

Medical identifiers for Jonathan Daniel Bouldin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447735055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	114696 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Hospital, Inc	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adult Gastroenterology Associates Inc	0840223921	14

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. Jonathan Daniel Bouldin allows following entities to bill medicare on his behalf.

Entity Name	Adult Gastroenterology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306884812 PECOS PAC ID: 0840223921 Enrollment ID: O20050919000387

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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. Jonathan Daniel Bouldin 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 Address	Practice Location Address
Jonathan Daniel Bouldin, APRN-CNP 9228 S Mingo Rd Ste 200, Tulsa, OK 74133-5722 Ph: (918) 592-0999	Jonathan Daniel Bouldin, APRN-CNP 1265 S Utica Ave, Tulsa, OK 74104-4243 Ph: (918) 592-0999

Reviews and Comments

Nurse Practitioner Nurses in Tulsa, OK

Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551
Casie Nicole Brim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104 Phone: 918-748-7676 Fax: 918-293-3130
Jared Qualls, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 460, Tulsa, OK 74104 Phone: 918-579-5749 Fax: 918-579-5762
Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200

Jonathan Daniel Bouldin, APRN-CNP - Medicare Nurse Practitioner in Tulsa, OK