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

Lauren Selberg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043984800

Lauren Selberg is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2023, 3 years ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1111 W 17th St
Tulsa, OK 74107-1886
Phone: (918) 561-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043984800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address1111 W 17th St, Tulsa, OK 74107-1886

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa