Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ammie Wall Kelley

Individual provider Family Nurse Practitioner · NPI 1164085502

Ammie Wall Kelley is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Warren Clinic Inc, a 772-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2019
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Practice location Address checks out

8921 S Mingo Rd
Tulsa, OK 74133-5841
Phone: (918) 252-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6565 S Yale Ave Ste 803, Tulsa, OK 74136-8309 — (918) 494-9288
  • 6565 S Yale Ave Ste 812, Tulsa, OK 74136-8309 — (918) 494-9288

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0102373 (OK)

Record details

NPI number1164085502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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