Active NPI
Jordan Kendall Hart, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1356005128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4664
- Practice address
- 11000 Hefner Pointe Dr
Oklahoma City, OK 73120-5039 - Phone
- (405) 749-9655
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- 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 | 4664 | OK | Primary |
Addresses
Primary practice location
11000 Hefner Pointe Dr
Oklahoma City, OK 73120-5039
Mailing address
14025 N Eastern Ave Apt 2912
Edmond, OK 73013-3520
Phone (405) 513-3531
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
- University of Oklahoma College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11000 Hefner Pointe Dr
Oklahoma City, OK 73120-5039
Phone (405) 749-9655
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.47 of 100
- Quality
- 65.03
- Improvement activities
- 40
- Cost
- 71.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Urology Physician
- Oklahoma City, OK
- NPI 1659313252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1356005128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14025 N EASTERN AVE APT 2912",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133520",
"telephone_number": "405-513-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 HEFNER POINTE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205039",
"telephone_number": "405-749-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JORDAN",
"middle_name": "KENDALL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "4664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.