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Deactivated NPI 1417930611 Deactivated / Inactive NPI Female Practitioner

Sue D Root , APRN, CNP

Nurse Practitioner • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sue Root has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2005
NPI Deactivation Date January 28, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Sue Root, APRN, CNP was a registered Nurse Practitioner practicing in Tulsa, OK. Throughout an active medical career spanning 17 years, Sue Root provided care at the practice location at 2642 E 21ST ST until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2642 E 21st St
Suite 285

Tulsa, OK 741141789

Telephone 9185748820
Fax 9185748821
Associated Practice Facility / Clinic
🏢 Autumnbridge Southwest Llc Facility NPI 1821079161

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
161 Specialists

Practicing in Tulsa, OK (715 Statewide)

Telehealth Adoption Rate
14.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
110 88 $26.03 $20.75
99213 Established patient office or other outpatient visit, typically 15 minutes
103 87 $49.73 $41.80

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OK R0033638

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 26, 2013

Registered at 2642 E 21ST ST, SUITE 285, TULSA, OK 741141789 (Tel: 9185748820)

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Updated Business Mailing Address March 26, 2013

Registered at 2642 E 21ST ST, SUITE 285, TULSA, OK 741141789 (Tel: 9185748820)

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Provider Name / Credentials Updated March 26, 2013

Recorded as SUE ROOT, APRN, CNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Nurse Practitioner (License #R0033638 in OK)

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Initial NPI Registration & Enumeration November 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417930611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2005
Last Update: March 26, 2013
Deactivation Date: January 28, 2022

Mailing Address

2642 E 21st St, Suite 285

Tulsa, OK 741141789

Phone: 9185748820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.