Individual provider Active NPI

Chris Jon Ogle, P.A.

  • Medical Physician Assistant
  • Faulkton, SD
National Provider Identifier
1043523913
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1300 Oak Street
Faulkton, SD 57438
Phone
(605) 598-6262
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 Primary

Addresses

Primary practice location

1300 Oak Street
Faulkton, SD 57438

Mailing address

39720 229TH St
Woonsocket, SD 57385-6604
Phone (605) 770-7879

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHRIS.OGLE@famc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20101202000232 SD Practitioner - Physician Assistant 5395931349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faulkton Area Medical CenterGroup PAC ID 4880505866, 10 clinicians

Practice addresses (Care Compare)

1300 Oak St
Faulkton, SD 57438-2149
Phone (605) 598-1144

PO Box
Suite 100
Faulkton, SD 57438

PO Box
Suite 100
Faulkton, SD 57438-0100

Hospital & facility affiliations

  • Faulkton Area Medical Center Hospital, Faulkton, SD, CCN 431301
  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Faulkton Area Medical Center Nursing home, CCN 43Z301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0751SDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Lakes Health Care System Inc CurrentSince Sep 25, 2023 Accepting new patients
Faulkton Area Medical Center CurrentSince Oct 26, 2010 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Sep 25, 2023 Accepting new patients
Faulkton Area Medical Center CurrentSince Aug 29, 2010 Accepting new patients

Locations

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e7f1db76-681a-46a3-9951-b0b343a47d69/
  • Direct secure messaging: chris.ogle@famc.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1043523913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39720 229TH ST",
            "city": "WOONSOCKET",
            "state": "SD",
            "postal_code": "573856604",
            "telephone_number": "605-770-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OAK STREET",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "57438",
            "telephone_number": "605-598-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "CHRIS",
        "middle_name": "JON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRIS.OGLE@famc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Faulkton Area Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1300 Oak Street",
            "city": "Faulkton",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Faulkton, SD

Sources for this page

Verify at the official NPI Registry.