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

Lisa Michele Sample, AG-ACNP

Individual provider Gerontology Nurse Practitioner · NPI 1003582644

Lisa Michele Sample, AG-ACNP is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2021, 5 years ago. Practices with Care Communications LLC, a 34-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 494-2200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 205023 (OK)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 205023 (OK)

Record details

NPI number1003582644
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 11, 2024
Mailing address6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Care Communications Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa