Individual provider Active NPI

Mark Hill Hokett, PA-C

  • Physician Assistant
  • Cedarcreek, MO
National Provider Identifier
1346670056
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2017032072 Issued in MO
Practice address
920 Backwoods Rd
Cedarcreek, MO 65627-9367
Phone
(281) 802-7269
NPI assigned
Nov 15, 2013
Last updated
Feb 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2017032072 MO Primary
Physician Assistant 363A00000X 0010-07531 NC
Physician Assistant 363A00000X PA51281 CA
Physician Assistant 363A00000X PA11506 TX

Addresses

Primary practice location

920 Backwoods Rd
Cedarcreek, MO 65627-9367

Mailing address

920 Backwoods Rd
Cedarcreek, MO 65627-9367
Phone (281) 802-7269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191030001733 TX Practitioner - Physician Assistant 3971827882 Reassigns benefits to 1 organization
I20230501000443 MO Practitioner - Physician Assistant 3971827882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51281CAMDPediatric Dentist
PA51281CAMDPhysician Assistant
PA11506TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1346670056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BACKWOODS RD",
            "city": "CEDARCREEK",
            "state": "MO",
            "postal_code": "656279367",
            "telephone_number": "281-802-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BACKWOODS RD",
            "city": "CEDARCREEK",
            "state": "MO",
            "postal_code": "656279367",
            "telephone_number": "281-802-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKETT",
        "first_name": "MARK",
        "middle_name": "HILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-15",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017032072",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07531",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA51281",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarcreek, MO

Sources for this page

Verify at the official NPI Registry.