Jared Qualls, APRN
Jared Qualls, APRN is an Acute Care Nurse Practitioner in Tulsa, OK, registered under NPI 1003279498. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Tulsa, based on OpenStreetMap data collected Aug 28, 2026. Parking is available about 0.36 mi away.
Getting here and what is nearby
Parking 637 ft ~3 min
Parking 0.33 mi ~7 min
Parking 0.36 mi ~8 min
Restaurant Cicis 0.46 mi ~10 min
Restaurant China Wok 0.47 mi ~10 min
4971 South Peoria Avenue East, Tulsa 74105
Mo-Th 11:00-21:30; Fr-Sa 11:00-22:30; Su 11:00-21:30
Restaurant Burger Street 0.47 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 102252 | OK | Acute Care Nurse Practitioner primary |
| 102252 | OK | Family Nurse Practitioner |
This provider holds licence 102252 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 4688952914
- Enrollment ID
- I20161020001890
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Acute Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LA2100X | Acute Care Nurse Practitioner Acute Care | 102252 | OK | primary |
| 363LF0000X | Family Nurse Practitioner Family | 102252 | OK |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003279498 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 1, 2016 |
| Last updated | Jun 21, 2019 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | APRN |
| Practice address |
1145 S UTICA AVE SUITE 460 Tulsa, OK 74104 (918) 579-5749 Fax (918) 579-5762 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 7 | 9 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 7 | 9 | 4 | 9 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.