Individual provider Active NPI

Amy Alane Mikles, PA-C

  • Physician Assistant
  • Guthrie, OK
National Provider Identifier
1063983740
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2929 Issued in OK
Practice address
2919 S Division St
Guthrie, OK 73044-6806
Phone
(405) 282-6301
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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 2929 OK Primary

Addresses

Primary practice location

2919 S Division St
Guthrie, OK 73044-6806

Mailing address

2919 S Division St
Guthrie, OK 73044-6806
Phone (405) 282-6301

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
I20190109000363 OK Practitioner - Physician Assistant 2567708746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Logan County, IncGroup PAC ID 4587836200, 25 clinicians

Practice addresses (Care Compare)

200 S Academy Rd
Guthrie, OK 73044-1017
Phone (405) 282-6700

200 S Academy Rd
Guthrie, OK 73044-8727
Phone (405) 282-6700

2919 S Division St
Guthrie, OK 73044-6806
Phone (405) 282-6301

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Oct 1, 2020 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 12, 2019 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: amikles1063184@directc.mercy.net

Organizations & group practices 7

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 2

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1063983740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446806",
            "telephone_number": "405-282-6301",
            "fax_number": "405-282-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446806",
            "telephone_number": "405-282-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLES",
        "first_name": "AMY",
        "middle_name": "ALANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.