Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134995046 Deactivated / Inactive NPI Male Practitioner

William Jackson Ely

Peer Specialist • Tulsa, OK

⚠️

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, William Ely has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2023
NPI Deactivation Date April 29, 2026
Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

William Ely was a registered Peer Specialist practicing in Tulsa, OK. Throughout an active medical career spanning 3 years, William Ely provided care at the practice location at 7477 E 46TH PL until profile deactivation on 2026-04-29.

Practice Location & Contact Primary Location

Practice Address

7477 E 46th Pl

Tulsa, OK 741456305

Telephone 9183840002
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
944 Specialists

Practicing in Tulsa, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brian Abraham , MS

Counselor - Mental Health

NPI 1003038456

Master of Science

Rachel Tucker

Case Manager/Care Coordinator

NPI 1023432952
Chante Johnson

Licensed Vocational Nurse

NPI 1043059231
Amayrani Luevano

Peer Specialist

NPI 1043095821
Amy Sager

Licensed Practical Nurse

NPI 1043095904
Sandra Ruiz-Marmolejo

Case Manager/Care Coordinator

NPI 1043805385

Career & Practice History Timeline

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

8 Historical Events
⚠️
NPI Profile Deactivated April 29, 2026

Record deactivated on April 29, 2026

⚠️
NPI Profile Deactivated April 28, 2026

Record deactivated on April 28, 2026

NPI Profile Active December 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2023

Registered at 7477 E 46TH PL, TULSA, OK 741456305 (Tel: 9183840002)

📍
Updated Business Mailing Address December 01, 2023

Registered at 24617 S MEADOW CIRCLE RD, CLAREMORE, OK 740193713 (Tel: 9189332788)

👤
Provider Name / Credentials Updated December 01, 2023

Recorded as WILLIAM ELY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for William Ely. Be the first to share your experience!

Sign in to leave a review for William Ely

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1134995046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2023
Last Update: December 01, 2023
Deactivation Date: April 29, 2026

Mailing Address

24617 S Meadow Circle Rd

Claremore, OK 740193713

Phone: 9189332788

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.