Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336868710 Individual Practitioner Female Practitioner

Tyra Lee Wilson

Case Management • Wagoner, OK

Professional Overview & Biography Verified Profile Summary

Tyra Wilson is a registered healthcare professional specializing in Case Management in Wagoner, OK. Practice services are available at 109 S HARRILL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 S Harrill Ave

Wagoner, OK 744675317

Telephone 9184850242
Associated Practice Facility / Clinic
🏢 Eagle Ridge Institute Facility NPI 1821119447

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Management in Wagoner, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Wagoner, OK (306 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

CMS Verified: 2022-08-23
Case Management Primary Specialty

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dayna Applegate

Case Manager/Care Coordinator

NPI 1003436387
Amber Vandusen

Case Manager/Care Coordinator

NPI 1023931409
NPI 1053699819
NPI 1053976928
Garrette Mcclure , MS

Counselor - Mental Health

NPI 1073078010

Master of Science

Lori Childs , LMSW-P

Social Worker - Clinical

NPI 1083124739

LMSWP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 26, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2022

Registered at 109 S HARRILL AVE, WAGONER, OK 744675317 (Tel: 9184850242)

📍
Updated Business Mailing Address August 26, 2022

Registered at 4311 ORCHARD PKWY, MUSKOGEE, OK 744038549 (Tel: 9188693152)

👤
Provider Name / Credentials Updated August 26, 2022

Recorded as TYRA WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2022

Case Management

🟢
Initial NPI Registration & Enumeration August 26, 2022

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: 1336868710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2022
Last Update: August 26, 2022
Sole Proprietor: Yes

Mailing Address

4311 Orchard Pkwy

Muskogee, OK 744038549

Phone: 9188693152

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.