Individual provider Active NPI

Patrick McCue, PA-C

  • Physician Assistant
  • Altus Afb, OK
National Provider Identifier
1033491121
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
97TH Medical Group, 301 N. First St
Altus Afb, OK 53723
Phone
(580) 481-5230
NPI assigned
Sep 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 Primary

Addresses

Primary practice location

97TH Medical Group, 301 N. First St
Altus Afb, OK 53723

Mailing address

97TH Medical Group, 301 N. First St
Altus Afb, OK 53723
Phone (580) 481-5230

Other practice location 1

10 Missile Ave
Minot AFB, ND 58705-5003
Phone (701) 723-5194

Other practice location 2

1381 S Patrick Dr
Patrick AFB, FL 32925-3606
Phone (321) 494-0419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130612000660 FL Order and Referring Only - Physician Assistant 0042459521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Organizations & group practices 1

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1033491121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97TH MEDICAL GROUP, 301 N. FIRST ST",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "53723",
            "telephone_number": "580-481-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97TH MEDICAL GROUP, 301 N. FIRST ST",
            "city": "ALTUS AFB",
            "state": "OK",
            "postal_code": "53723",
            "telephone_number": "580-481-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Missile Ave",
            "address_purpose": "LOCATION",
            "city": "Minot AFB",
            "state": "ND",
            "postal_code": "587055003",
            "country_code": "US",
            "telephone_number": "701-723-5194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 S Patrick Dr",
            "address_purpose": "LOCATION",
            "city": "Patrick AFB",
            "state": "FL",
            "postal_code": "329253606",
            "country_code": "US",
            "telephone_number": "321-494-0419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus Afb, OK

Sources for this page

Verify at the official NPI Registry.