Age Erase Medical Aesthetics
NPI 1386505709 · Nurse Practitioner · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Age Erase Medical Aesthetics is a Nurse Practitioner organization in Tulsa, OK (NPI 1386505709).
Provider details
- NPI number
- 1386505709
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Reesey Russell, Owner(940) 704-1700
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-11-24
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Age Erase Medical Aesthetics's NPI number?
- Age Erase Medical Aesthetics's National Provider Identifier (NPI) is 1386505709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Age Erase Medical Aesthetics?
- Age Erase Medical Aesthetics is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Age Erase Medical Aesthetics located?
- Age Erase Medical Aesthetics's practice location on file with NPPES is 7010 S Utica Ave, Tulsa, OK 74136-3907.
- What is Age Erase Medical Aesthetics's phone number?
- The practice phone number listed in the NPPES registry for Age Erase Medical Aesthetics is (940) 704-1700.
- Does Age Erase Medical Aesthetics accept Medicare?
- Age Erase Medical Aesthetics is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Age Erase Medical Aesthetics?
- The authorized official listed on Age Erase Medical Aesthetics's NPPES record is Reesey Russell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Age Erase Medical Aesthetics's NPI active?
- Yes — Age Erase Medical Aesthetics's NPI (1386505709) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.