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

Kelly Janell Petree

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1982244695

Kelly Janell Petree is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2019, 7 years ago. Practices with State of Oklahoma, a 99-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
7
Licensed in
MO, OK
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

9228 S Mingo Rd Ste 101&103
Tulsa, OK 74133-5718
Phone: (405) 378-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 212074 (OK)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2020000885 (MO)

Record details

NPI number1982244695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice State Of Oklahoma — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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