Active NPI
Brian Kirk Fipps, PAC
- Physician Assistant
- Paden, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 909 South Oak Street
Paden, OK 74860 - Phone
- (405) 815-7461
- NPI assigned
- Jul 30, 2008
- Last updated
- Jul 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
909 South Oak Street
Paden, OK 74860
Mailing address
PO Box 52
Paden, OK 74860-0052
Phone (405) 815-7461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700
1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424
31870
Suite 51
Coweta, OK 74429
Phone (918) 279-3200
500 Eunice Burns Rd
Eufaula, OK 74432-4052
Phone (918) 689-2547
Hospital & facility affiliations
- Mays Home Health of NC Ok
- Creek Nation Community Hospital
- Muscogee (Creek) Nation Medical Center
- Council Oak Comprehensive Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1758 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Creek Nation Hospital and Clinics Board | Past | Accepting new patients |
Locations
31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
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.
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
dba Muscogee Healing and Recovery Center
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- General Acute Care Hospital
- Okemah, OK
- NPI 1689727588
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Muscogee (Creek) Nation Long Term Acute Care Hospital
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
dba Muscogee (Creek) Nation Medical Center
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1902236573
-
dba Mays Home Health of Tulsa
- Home Health Agency
- Okmulgee, OK
- NPI 1467956599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1326204355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52",
"city": "PADEN",
"state": "OK",
"postal_code": "748600052",
"telephone_number": "405-815-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SOUTH OAK STREET",
"city": "PADEN",
"state": "OK",
"postal_code": "74860",
"telephone_number": "405-815-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIPPS",
"first_name": "BRIAN",
"middle_name": "KIRK",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paden, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.