Individual provider Active NPI

Stephanie Arlene Whatley, P.A.

  • Medical Physician Assistant
  • Enid, OK
National Provider Identifier
1003878612
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1136 Issued in OK
Practice address
2821 N Van Buren St Ste B
Enid, OK 73703-1729
Phone
(580) 213-9794
Fax
(580) 213-9795
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1136 OK Primary

Addresses

Primary practice location

2821 N Van Buren St Ste B
Enid, OK 73703-1729

Mailing address

5300 N Independence Ave
Oklahoma City, OK 73112-5556
Phone (580) 213-9794

Other identifiers 2

IdentifierTypeStateIssuer
P01318927OtherOKRR MEDICARE
200004000AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001256 OK Practitioner - Physician Assistant 9234028994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1805 W Garriott Rd
Integris Urgent Care Plus
Enid, OK 73703-5526
Phone (580) 977-1904

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Center LLC CurrentSince Nov 1, 2025 Accepting new patients
Panhandle Womens Center P L L C Past Accepting new patients

Locations

102 Starlite Dr
Ste 3
Kingfisher, OK 73750
Phone (572) 200-8805

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

Interoperability endpoints

  • Direct secure messaging: swhatley9248@direct.integrisok.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1003878612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-213-9794",
            "fax_number": "580-213-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N VAN BUREN ST STE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031729",
            "telephone_number": "580-213-9794",
            "fax_number": "580-213-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "STEPHANIE",
        "middle_name": "ARLENE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01318927",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.