Active NPI
Chester Alan Hendershot Jr., MHA,MHS, PA-C
- Physician Assistant
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2821
- Practice address
- 709 N Czech Hall Rd
Yukon, OK 73099-7897 - Phone
- (405) 949-8600
- NPI assigned
- Dec 14, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 2821 | OK | Primary |
Addresses
Primary practice location
709 N Czech Hall Rd
Yukon, OK 73099-7897
Mailing address
3108 NW 184TH St
Edmond, OK 73012-9650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149304 | Other | NCCPA | |
| PA2821 | Other | OK | OKLAHOMA STATE MEDICAL BOARD OF LICENSURE AND SUPERVISION |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 SW 104TH St
Ou HLTH ER and UC Sokc
Oklahoma City, OK 73159-7036
Phone (405) 300-7740
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2821 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Core Primary Care Partners LLC | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
100 NE 85th St
Oklahoma City, OK 73114
Phone (405) 431-9921
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1023970712
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1558386474
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Ardmore, OK
- NPI 1588427462
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1326553256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 NW 184TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N CZECH HALL RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730997897",
"telephone_number": "405-949-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSHOT",
"first_name": "CHESTER",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MHA,MHS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-14",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1149304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE MEDICAL BOARD OF LICENSURE AND SUPERVISION",
"identifier": "PA2821",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.