OrganizationActiveAccepts Medicare
Medwise LLC
NPI 1104626274 · Durable Medical Equipment & Medical Supplies · Owasso, OK
Enrolled with Medicare as Dme Supplier - Other · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104626274
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Medwise LLC
- Organization subpart
- Yes
- Authorized official
- Dennis Blackstad, President(918) 605-6582
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11760 E 86th St N
Owasso, OK 74055-2533
Phone: (918) 998-9961
Street-level locationGet directions
Mailing address
12902 E 51st St
Tulsa, OK 74134-6712
Other names (DBA / former)
- Other name
- Medwise Urgent Care - Owasso
Registry dates
- Enumerated
- 2025-03-17
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.