Individual provider Active NPI

Cara G Engelmann, P.A.

  • Physician Assistant
  • Del City, OK
National Provider Identifier
1023327905
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1398 Issued in OK
Practice address
5472 Main St Ste 101
Del City, OK 73115-5524
Phone
(405) 622-3699
NPI assigned
Sep 27, 2010
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1398 OK Primary

Addresses

Primary practice location

5472 Main St Ste 101
Del City, OK 73115-5524

Mailing address

5472 Main St Ste 101
Del City, OK 73115-5524
Phone (405) 622-3699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cara.Engelmann@35659640274948.direct.elationemr.com

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
I20120504000337 OK Practitioner - Physician Assistant 3971765165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fusion MD PLLCGroup PAC ID 0042506701, 6 clinicians

Practice addresses (Care Compare)

5472 Main St
Suite 101
Del City, OK 73115-5524
Phone (405) 622-3699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1398OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cara.engelmann@35659640274948.direct.elationemr.com
  • Direct secure messaging: cara.engelmann@411510842327044.direct.elationemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1023327905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 MAIN ST STE 101",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155524",
            "telephone_number": "405-622-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 MAIN ST STE 101",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155524",
            "telephone_number": "405-622-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMANN",
        "first_name": "CARA",
        "middle_name": "G",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cara.Engelmann@35659640274948.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "5472 Main St Ste 101",
            "city": "Del City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731155524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.