Individual provider Active NPI

Andrea Ann Bean, PA-C

  • Medical Physician Assistant
  • Ardmore, OK
National Provider Identifier
1073850822
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2237 Issued in OK
Practice address
908 N Rockford Rd Ste G
Ardmore, OK 73401-2541
Phone
(580) 490-9411
Fax
(580) 490-9415
NPI assigned
Jan 14, 2013
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2237 OK Primary
Medical Physician Assistant 363AM0700X APA2237 OK
Physician Assistant 363A00000X 2237 OK

Addresses

Primary practice location

908 N Rockford Rd Ste G
Ardmore, OK 73401-2541

Mailing address

908 N Rockford Rd Ste G
Ardmore, OK 73401-2541
Phone (580) 490-9411

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
I20130812000006 OK Practitioner - Physician Assistant 4486896073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve Watkins DO PCGroup PAC ID 4688856180, 2 clinicians

Practice addresses (Care Compare)

908 N Rockford Rd
Suite G
Ardmore, OK 73401-2541
Phone (580) 490-9411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2237OKMDMedical Physician Assistant
APA2237OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Watkins DO PC CurrentSince Aug 30, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Nov 2, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 15, 2013 Accepting new patients

Locations

908 N Rockford Rd
Ste G
Ardmore, OK 73401
Phone (580) 490-9411

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1073850822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD STE G",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012541",
            "telephone_number": "580-490-9411",
            "fax_number": "580-490-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD STE G",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012541",
            "telephone_number": "580-490-9411",
            "fax_number": "580-490-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "ANDREA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2237",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "APA2237",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.