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

Lisa S Mogelnicki, DPM

Individual provider Podiatrist · NPI 1689967739

Lisa S Mogelnicki, DPM is a Podiatry in Tulsa, Oklahoma. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2008, 18 years ago. Practices with Pawnee Indian Health Center, a 94-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
18
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
OK
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2431 E 61st St Ste 500
Tulsa, OK 74136-1208
Phone: (918) 582-6800
Fax: (918) 582-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 291 (OK)

Record details

NPI number1689967739
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2008 (18 years in practice)
Group practice Pawnee Indian Health Center — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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