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

Benjamin Wagga

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114761301

Benjamin Wagga is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2024, 2 years ago. Practices with Faith Health Center, LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024

Practice location Address checks out

4815 S Harvard Ave Ste 360
Tulsa, OK 74135-3077
Phone: (918) 876-0606
Fax: (918) 876-0604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2024027381 (OK)

Record details

NPI number1114761301
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing addressPo Box 311, Jenks, OK 74037-0311

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Faith Health Center,Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tulsa