MR. STEPHEN NETTLES (APRN) – Nurse Practitioner, NPI 1770906695

MR. STEPHEN NETTLES (APRN) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 93117 (OK). The NPI Number for MR. STEPHEN NETTLES (APRN) is 1770906695

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN NETTLES (APRN)
NPI
1770906695
Phone
(918) 579-5749
Address
1145 S UTICA AVE
Enumeration Date
28 January 2014
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802336100
Graduation Year
2018 (8 years ago)
PAC ID
2769724392
Group Practice PAC ID
7315315454
Professional Enrollment ID
I20190501002756
Address ID
OK737015832EN305XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MR. STEPHEN NETTLES (APRN)

  • 1145 S UTICA AVE

    STE 460

    TULSA, OK 741044041

    Phone: (918) 579-5749

    Fax: (918) 579-5762

    Type: Mailing

  • 1145 S UTICA AVE STE 460

    TULSA, OK 741044041

    Phone: (918) 579-5749

    Fax: (918) 579-5762

    Type: Location

  • 1145 S Utica Ave Ste 460

    Tulsa, OK 741044041

    Phone: (918) 579-5749

    Fax: (918) 579-5762

    Type: Location

  • 2525 NW Expressway St Ste 102

    Oklahoma City, OK 731127200

    Phone: (405) 213-0192

    Fax: (405) 438-0988

    Type: Location

  • 7205 NW 158th St

    Edmond, OK 730139082

    Phone: (405) 503-5441

    Type: Location

  • 305 S 5TH ST

    ENID, OK 737015832

    Phone: (405) 299-3044

    Type: Mailing

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: 2019-05-01

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
I20190501002756INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making4040$0
99285Emergency department visit with high level of medical decision making2525$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 7315315454View full group profile
NameSpecialtyState
Emergency MedicineOK
Nurse PractitionerLA
Emergency MedicineOK
Physician AssistantIL
Emergency Medicine, Family Practice, Emergency MedicineIN
Nurse PractitionerOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency Medicine, Family PracticeOK

Reviews

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Frequently asked questions

What identifier follows MR. STEPHEN NETTLES (APRN) across health systems?
The NPI 1770906695 uniquely identifies MR. STEPHEN NETTLES (APRN) in U.S. healthcare data.
Is MR. STEPHEN NETTLES (APRN) currently accepting referrals based on NPI status?
Registry metadata lists MR. STEPHEN NETTLES (APRN) as active.
What type of care does MR. STEPHEN NETTLES (APRN) provide?
MR. STEPHEN NETTLES (APRN)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. STEPHEN NETTLES (APRN)?
MR. STEPHEN NETTLES (APRN) is associated with Tulsa, Oklahoma in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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