Carol Diane Wink, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1455 Issued in OK

Practice address

402 W Morrow Rd
Sand Springs, OK 74063-6549

Phone

(918) 295-1328

Fax

(918) 403-6313

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home - Tulsa Home health agency, Tulsa, OK, CCN 377073
• Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• St John Owasso Hospital, Owasso, OK, CCN 370227

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Omni Medical Group Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1174578249
  Medicare reassignment Care Compare group

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

• Owasso Medical Facility, Inc

  • General Acute Care Hospital
  • Owasso, OK
  • NPI 1144231432
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St John Sapulpa, Inc.

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1922076603
  Care Compare affiliation
• St. John Home Care LLC

  • Home Health Agency
  • Tulsa, OK
  • NPI 1225114465
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1265516827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W MORROW RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636549",
            "telephone_number": "918-295-1328",
            "fax_number": "918-403-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W MORROW RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636549",
            "telephone_number": "918-295-1328",
            "fax_number": "918-403-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINK",
        "first_name": "CAROL",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1147",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim B. Williamson, C.AC.
• Christina Wilson
• Hannah Elayne Wilson
• Kama M Wilson
• Jeannette Elaine Windschitl, APRN
• Wondrous Kids LLC
• Molly Jean Woodhall, PT, DPT
• Dawn Youngblood, RPTA
• Heather Dawn Zimmerman, ARNP

• Physician Assistant in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.