Amy Lee Williams, PA-C
Individual provider Active NPI Physician Assistant · Okeene, OK
NPI 1346428604 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1346428604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1726 (OK)
- Practice address
- 124 N 6TH St
Okeene, OK 73763 - Phone
- (580) 822-4404
- Fax
- (580) 822-4403
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Okeene Municipal Hospital and Schallmo Authority
Practice addresses (Care Compare)
124 N 6TH St
Okeene, OK 73763-9135
Phone (580) 822-4404
207 E F St
Okeene, OK 73763-9441
Phone 5808224417134
Hospital & facility affiliations
- Okeene Municipal Hospital
- St Mary'S Regional Medical Center
- Integris Health Enid Hospital
- Fairview Regional Medical Center Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.74 of 100
- Quality
- 68.62
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080407000051 | OK | Practitioner - Physician Assistant | 6709963457 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okeene Municipal Hospital and Schallmo Authority | Current |
Accepting new patients | |
| Okeene Municipal Hospital and Schallmo Authority | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Okeene Municpal Hospital and Schallmo Authority | Past | Accepting new patients |
Locations
207 E F St
Okeene, OK 73763
Phone (580) 822-4321
124 N 6th St
Okeene, OK 73763
Phone (580) 822-4404
Interoperability endpoints
- awilliams58698@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1726 | OK | Yes |
Addresses
Primary practice location
124 N 6TH St
Okeene, OK 73763
Mailing address
124 N 6TH St
Okeene, OK 73763-9135
Phone (580) 822-4308
Other names
- Ms. Amy Lee Henderson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awilliams58698@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhealth.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Okeene, OK
- Summit Healthcare LLC
- Summit Healthcare Receivership LLC
- Michael R Talley
- Brenda Lee Wallace
- Wheatland Therapy Services, LLC.
All providers in Okeene, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.