DR. QUANISHA ROBERSON (DO) – Clinical Nurse Specialist, NPI 1033593207

DR. QUANISHA ROBERSON (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Clinical Nurse Specialist. They hold the professional credentials DO. They hold a License No. 98124 (OK). The NPI Number for DR. QUANISHA ROBERSON (DO) is 1033593207

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. QUANISHA ROBERSON (DO)
NPI
1033593207
Phone
(918) 619-4200
Address
4502 E 41ST ST
Enumeration Date
16 July 2015
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187487599
Graduation Year
2015 (11 years ago)
PAC ID
9638479843
Group Practice PAC ID
2567366495
Professional Enrollment ID
I20151119001527
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for DR. QUANISHA ROBERSON (DO)

  • 4502 E 41ST ST

    TULSA, OK 741352536

    Phone: (918) 619-4200

    Fax: (918) 619-4216

    Type: Mailing

  • 226 SE DE BELL AVE

    BLDG A. STE 101

    BARTLESVILLE, OK 74006

    Phone: (918) 333-7100

    Type: Mailing

  • 226 SE DE BELL AVENUE

    BUILDING A, SUITE 101

    BARTLESVILLE, OK 74006

    Phone: (918) 333-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151119001527ICertified Clinical Nurse Specialist (Cns)OKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567366495View full group profile

Reviews

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Frequently asked questions

Is DR. QUANISHA ROBERSON (DO) listed with a National Provider Identifier?
Yes — DR. QUANISHA ROBERSON (DO) has NPI 1033593207 on file in the registry.
Active or inactive — what applies to DR. QUANISHA ROBERSON (DO)?
You should see DR. QUANISHA ROBERSON (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. QUANISHA ROBERSON (DO)?
DR. QUANISHA ROBERSON (DO)'s specialty line reads Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. QUANISHA ROBERSON (DO)?
Directory geography for DR. QUANISHA ROBERSON (DO) centers on Tulsa, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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