Individual provider Active NPI

Angie M Hignite, PA-C

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
National Provider Identifier
1336388792
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
1803 Issued in OK
Practice address
2000 S Wheeling Ave Ste 100
Tulsa, OK 74104
Phone
(918) 403-7070
Fax
(918) 403-6327
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 1803 OK Primary
Medical Physician Assistant 363AM0700X PA1803 OK

Addresses

Primary practice location

2000 S Wheeling Ave Ste 100
Tulsa, OK 74104

Mailing address

2000 S Wheeling Ave Ste 100
Tulsa, OK 74104-5643
Phone (918) 403-7070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000626 OK Practitioner - Physician Assistant 2062579733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393

1809 E 13TH St
Tulsa, OK 74104-4431

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1803OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Wound Care LLC CurrentSince Jul 29, 2022 Accepting new patients
St. John Physicians, Inc CurrentSince Jun 26, 2012 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Dec 1, 2022 Accepting new patients
St. John Physicians, Inc. Past Accepting new patients
St John Cardiovasuclar Services Inc Past Accepting new patients

Locations

6440 Avondale Dr
Ste 20035
Nichols Hills, OK 73116
Phone (918) 231-8724

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1206
Tulsa, OK 74182

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1809 E 13th St
Ste 400
Tulsa, OK 74104
Phone (918) 599-8200

Interoperability endpoints

  • Direct secure messaging: ahignite828848@ahs.direct-ci.com
  • Direct secure messaging: angie.hignite@direct.stjohnhealthsystem.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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 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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1336388792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045643",
            "telephone_number": "918-403-7070",
            "fax_number": "918-403-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-403-7070",
            "fax_number": "918-403-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGNITE",
        "first_name": "ANGIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "1803",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA1803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.