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

Jared Qualls, APRN

Individual provider Family Nurse Practitioner · NPI 1003279498

Jared Qualls, APRN is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2016, 10 years ago. Practices with Tulsa Hospital Medicine Physicians Group, LLC, a 132-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1145 S Utica Ave Ste 460
Tulsa, OK 74104-4000
Phone: (918) 579-5749
Fax: (918) 579-5762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 102252 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 102252 (OK)

Record details

NPI number1003279498
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESJune 21, 2019

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 Tulsa Hospital Medicine Physicians Group, Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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