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

Charles Blagovich

Individual provider Family Nurse Practitioner · NPI 1053763334

Charles Blagovich is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2016, 10 years ago. Practices with Nujoint LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016

Practice location Address checks out

6600 S Yale Ave
Tulsa, OK 74136-3347
Phone: (740) 505-7569
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 121198 (OK)

Record details

NPI number1053763334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016
Mailing address6600 S Yale Ave, Tulsa, OK 74136-3347

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nujoint Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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