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Active NPI 1558903369 Individual Practitioner Female Practitioner

Nicole Coburn

Physician Assistant • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Coburn is a certified Physician Assistant practicing in Tulsa, OK. With approximately 7 years of clinical experience since completing medical education in 2019, Nicole Coburn delivers high-quality medical care to the local community at 1923 S UTICA AVE.

Nicole Coburn is affiliated with St. John Physicians, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1923 S Utica Ave

Tulsa, OK 741046520

Telephone 9187487591
Fax 9184036352
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coburn (7 Years) 7 Yrs
Tulsa Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
156 74 $150.00 $63.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
68 66 $422.00 $141.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
53 35 $216.00 $96.62
99497 Advance care planning, first 30 minutes
13 12 $195.00 $61.95

Medical Specialties & State Licenses

CMS Verified: 2020-04-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 3176

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

St. John Physicians, Inc.

1705 E 19th St, Tulsa, OK 741045410

St. John Physicians, Inc.

1923 S Utica Ave, Tulsa, OK 741046520

Phone: 9187442071

Practice Associates & Co-Workers

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

32 Associated Practitioners
Dr. Jack Test , MD

Internal Medicine

NPI 1033648951

Doctor of Medicine (M.D.)

Caleb Severns

Hospitalist

NPI 1043671365
Dr. Patrick Neff , DO

Internal Medicine

NPI 1073053468

Doctor of Osteopathic Medicine (D.O.)

Dr. Ezekiel Wang , MD

Family Medicine

NPI 1134653926

Doctor of Medicine (M.D.)

Dr. David Mcvay , DO

Family Medicine

NPI 1154857043

Doctor of Osteopathic Medicine (D.O.)

Dr. Divya Akula , DO

Internal Medicine

NPI 1194186379

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 03, 2020

Registered at 1923 S UTICA AVE, TULSA, OK 741046520 (Tel: 9187487591)

📍
Updated Business Mailing Address April 03, 2020

Registered at 1923 S UTICA AVE, TULSA, OK 741046520 (Tel: 9187487591)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2020

Physician Assistant (License #3176 in OK)

NPI Profile Active October 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2019

Registered at 7655 S QUEBEC PL, TULSA, OK 741368108 (Tel: 9183603393)

📍
Updated Business Mailing Address October 14, 2019

Registered at 7655 S QUEBEC PL, TULSA, OK 741368108 (Tel: 9183603393)

👤
Provider Name / Credentials Updated October 14, 2019

Recorded as NICOLE COBURN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 14, 2019

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: 1558903369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2019
Last Update: April 03, 2020
Sole Proprietor: Yes

Mailing Address

1923 S Utica Ave

Tulsa, OK 741046520

Phone: 9187487591

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.