THOMAS JUDD MANESS – Psychiatric/Mental Health Nurse Practitioner, NPI 1083503320

THOMAS JUDD MANESS is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 201727 (OK). The NPI Number for THOMAS JUDD MANESS is 1083503320

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
THOMAS JUDD MANESS
NPI
1083503320
Phone
(918) 499-4855
Address
6502 S YALE AVE STE 3410
Enumeration Date
1 July 2025
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184814000
Graduation Year
2025 (1 year ago)
PAC ID
1355823287
Group Practice PAC ID
3971599218
Professional Enrollment ID
I20260301000075
Address ID
OK741363326TU6655XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,328 NURSE PRACTITIONER in OK

Provider Addresses for THOMAS JUDD MANESS

  • 6502 S YALE AVE STE 3410

    TULSA, OK 741368329

    Phone: (918) 499-4855

    Fax: (918) 488-6098

    Type: Mailing

  • 6655 S YALE AVE

    TULSA, OK 741363326

    Phone: (918) 491-3700

    Fax: (918) 481-4063

    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: 2026-03-01

PECOS data refreshed: 2026-06-15

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
I20260301000075INurse PractitionerOKTBD

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 74136)

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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: 3971599218View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Mental Health CounselorOK
P S Y C H I A T R YOK
Clinical PsychologistOK
P S Y C H I A T R YOK
Physician AssistantOK
Clinical Social WorkerOK
Marriage And Family TherapistOK
P S Y C H I A T R YOK
-OK

Reviews

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Frequently asked questions

Can I verify THOMAS JUDD MANESS with an NPI only?
You can start verification with NPI 1083503320 for THOMAS JUDD MANESS, then check state licensing separately.
Can I rely on THOMAS JUDD MANESS being an active provider?
As of the registry snapshot, THOMAS JUDD MANESS is marked active.
What is THOMAS JUDD MANESS best known for clinically?
Directory data describes THOMAS JUDD MANESS with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is THOMAS JUDD MANESS based?
THOMAS JUDD MANESS is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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