Individual provider Active NPI

Autumn Lynn Hensley, M.D.

  • Obstetrics & Gynecology Physician
  • Durant, OK
National Provider Identifier
1316109630
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29039 Issued in OK
Practice address
1400 Bryan Dr Ste 208
Durant, OK 74701-2157
Phone
(580) 920-9063
Fax
(833) 450-0357
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29039 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1400 Bryan Dr Ste 208
Durant, OK 74701-2157

Mailing address

5879 N Washington Ave
Durant, OK 74701-7398
Phone (580) 916-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120907000695 OK Practitioner - Obstetrics/Gynecology 8123276607 Reassigns benefits to 3 organizations
I20240410003488 TX Practitioner - Obstetrics/Gynecology 8123276607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

1400 Bryan Dr
Suite 208
Durant, OK 74701-2157
Phone (580) 920-9063

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 6, 2024 Accepting new patients
Durant Hma Physician Management, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients
OB/GYN Associates of Durant Obstetrics & Gynecology Past Accepting new patients
Durant Hma LLC Past Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1400 Bryan Dr
Ste 208
Durant, OK 74701
Phone (580) 920-9063

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1400 Bryan Dr
Ste 101
Durant, OK 74701
Phone (580) 924-3080

1201 E Jackson St
Hugo, OK 74743
Phone (580) 326-6423

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

Interoperability endpoints

  • Direct secure messaging: autumn.hensley.1@4696.direct.athenahealth.com

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1316109630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5879 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017398",
            "telephone_number": "580-916-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 208",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-920-9063",
            "fax_number": "833-450-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "AUTUMN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "29039",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.