MEDICARE: MRS. KRISTI GENE SAGER ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R75262	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	500522075	OTHER	OK	MEDICARE GROUP PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033182258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTI GENE SAGER ARNP

Provider Business Mailing Address
First Line	:	4623 W KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-8975
Country	:	US
Telephone Number	:	918-693-0834
Fax Number	:

Provider Business Practice Location Address
First Line	:	4623 W KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-8975
Country	:	US
Telephone Number	:	918-693-0834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	01/15/2026

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