St Anthony Shawnee Hospital Inc
A Medicare group practice based in Shawnee, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1052567328), with 31 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052567328
- Provider type
- DME Supplier - Pharmacy, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Pharmacy
- Enrolled in
- OK
- Enrollments
- 5
- Group size
- 15 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 19
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20121015000218 | OK | Part B Supplier - Clinic/Group Practice | 1619260411 |
| O20120802000581 | OK | Part A Provider - Hospital | 1134123193 |
| O20250204003624 | OK | Part B Supplier - Pharmacy | 1912739020 |
| O20250204003110 | OK | Part B Supplier - Mass Immunization (Roster Biller Only) | 1912739020 |
| O20250529003129 | OK | DME Supplier - Pharmacy | 1912739020 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St Anthony Shawnee Hospital Inc
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
-
St Anthony Shawnee Hospital Inc
- Surgery Physician
- Shawnee, OK
- NPI 1619260411
-
St. Anthony Shawnee Hospital, Inc.
- Community/Retail Pharmacy
- Shawnee, OK
- NPI 1912739020
Practice locations
- Shawnee, OK17
- Seminole, OK2
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 99.2 of 100
- Quality
- 93.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 93.93
Clinicians 31
Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (15).
-
Kelly Bacon
- Certified Registered Nurse Anesthetist
- Idabel, OK
- NPI 1700844313
-
Candyse Elizabeth Brewer, APRN-CNS
- Gerontology Clinical Nurse Specialist
- Norman, OK
- NPI 1588263495
-
Mark E. Bucher, CRNA
- Certified Registered Nurse Anesthetist
- Ada, OK
- NPI 1295871283
-
Traci Tran Carter, P.A.-C
- Medical Physician Assistant
- Shawnee, OK
- NPI 1841520152
-
Jennifer Leigh Fleck, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1013247378
-
Abby Reanell Friesen
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1083254114
-
Scott C Gentry, CRNA
- Certified Registered Nurse Anesthetist
- Helena, AR
- NPI 1952386633
-
Brindha Gopala Krishnan, M.D
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1407208804
-
Michael Heon
- Certified Registered Nurse Anesthetist
- Shawnee, OK
- NPI 1568320091
-
Isma Nusrat Javed, M.D
- Internal Medicine Physician
- Shawnee, OK
- NPI 1285087536
-
Emily Lamirand Griffin, APRN
- Nurse Practitioner
- Oklahoma City, OK
- NPI 1023549664
-
Faisal Latif, M.D.
- Interventional Cardiology Physician
- Oklahoma City, OK
- NPI 1770623068
-
Thomas R Leblanc, CRNA
- Certified Registered Nurse Anesthetist
- Grants Pass, OR
- NPI 1053440172
-
Kseniya Luz, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1457029605
-
Daniel Scott Matlock, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1992765838
-
Shawn Mayhew, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1164190310
-
Martin McIntosh, CRNA
- Certified Registered Nurse Anesthetist
- Texarkana, TX
- NPI 1598723215
-
Troy R Norred, MD
- Interventional Cardiology Physician
- Shawnee, OK
- NPI 1780689844
-
Eric Olson
- Family Nurse Practitioner
- Shawnee, OK
- NPI 1720562291
-
Sheryl Ronne, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
- NPI 1225334089
-
Jolene Rychtik, NP
- Nurse Practitioner
- Midwest City, OK
- NPI 1588094783
-
William Robbin Saunders, CRNA
- Certified Registered Nurse Anesthetist
- Midwest City, OK
- NPI 1992745509
-
Bushra Siddique, M.D.
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1982848719
-
John H Summers, M.D.
- Clinical Cardiac Electrophysiology Physician
- Oklahoma City, OK
- NPI 1699736363
-
Dwight L Thacker, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1801865100
-
Cailey Brooke Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Quincy, IL
- NPI 1609523984
-
Clayton Dean Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Quincy, IL
- NPI 1518614890
-
Travis Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Edmond, OK
- NPI 1669791596
-
Elizabeth A Wickersham, M.D.
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1992706048
-
Kerstin Womacks, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1801566153
-
Kristy J Yates, CRNA
- Certified Registered Nurse Anesthetist
- McAlester, OK
- NPI 1215964044
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.