Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas D Debolt, PA-C

Individual provider Surgical Physician Assistant · NPI 1700122587

Nicholas D Debolt, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2012, 14 years ago. Practices with Advanced Orthopedics of Oklahoma PLLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2488 E 81st St Ste 290
Tulsa, OK 74137-4265
Phone: (918) 494-2665
Fax: (918) 927-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1809 E 13th St, Tulsa, OK 74104-4419 — (918) 582-6100

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2194 (OK)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1700122587
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 23, 2012
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Advanced Orthopedics Of Oklahoma Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tulsa