NPIMap

Individual provider Active NPI

Mikayla Neal Wells, PA-C

  • Physician Assistant
  • Lawton, OK
National Provider Identifier
1245830439
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4411 W Gore Blvd Ste A2
Lawton, OK 73505-5977
Phone
(580) 699-8383
Fax
(580) 699-8381
NPI assigned
Oct 28, 2020
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 NU Primary

Addresses

Primary practice location

4411 W Gore Blvd Ste A2
Lawton, OK 73505-5977

Mailing address

416 N Main St
Altus, OK 73521-3108
Phone (580) 379-0325

Other practice location 1

4427 W Gore Blvd
Lawton, OK 73505-5907
Phone (580) 699-8383

Other practice location 2

416 N Main St
Altus, OK 73521-3108
Phone (580) 379-0325

Other names 1

  • Mikayla Neal Mefford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202001087 OK Practitioner - Physician Assistant 2163833864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red River Medical Services LLCGroup PAC ID 0143651141, 4 clinicians

Practice addresses (Care Compare)

4411 W Gore Blvd
Lawton, OK 73505-5977
Phone (580) 699-8383

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4436OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Nov 30, 2020 Accepting new patients
Williams Medical Group Practice, LLC Urgent Care CurrentSince Nov 30, 2020 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
University of Oklahoma Health Scien Ctr Southwest Ok Family Practice Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

1327 Oklahoma Ave
Woodward, OK 73801
Phone (580) 254-2377

Organizations & group practices 6

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 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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1245830439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213108",
            "telephone_number": "580-379-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE A2",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-699-8383",
            "fax_number": "580-699-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4427 W Gore Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735055907",
            "country_code": "US",
            "telephone_number": "580-699-8383",
            "fax_number": "580-699-8381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 N Main St",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735213108",
            "country_code": "US",
            "telephone_number": "580-379-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MIKAYLA",
        "middle_name": "NEAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "MEFFORD",
            "middle_name": "NEAL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.