Active NPI
Patrick McCue, PA-C
- Physician Assistant
- Altus Afb, OK
National Provider Identifier
1033491121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130612000660 | FL | Order and Referring Only - Physician Assistant | 0042459521 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.