Individual provider Active NPI

Nichole Bateman Satterwhite, PA-C, MPAS

  • Physician Assistant
  • Miami, OK
National Provider Identifier
1447238514
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA851 Issued in OK
Practice address
310 2ND Ave SW Ste 104
Miami, OK 74354-6708
Phone
(918) 540-7867
Fax
(918) 540-7875
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA851 OK Primary

Addresses

Primary practice location

310 2ND Ave SW Ste 104
Miami, OK 74354-6708

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (918) 540-7867

Other practice location 1

21 W Central Ave
Miami, OK 74354-6743
Phone (918) 542-3900

Other identifiers 2

IdentifierTypeStateIssuer
447687887004OtherOKBLUE CROSS BLUE SHIELD
100188810AMedicaidOK

Other names 1

  • Nichole Bateman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851OKMDContractor
PA851OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Baptist Regional Health Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1447238514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "918-540-7867",
            "fax_number": "918-540-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW STE 104",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546708",
            "telephone_number": "918-540-7867",
            "fax_number": "918-540-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546743",
            "country_code": "US",
            "telephone_number": "918-542-3900",
            "fax_number": "918-542-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTERWHITE",
        "first_name": "NICHOLE",
        "middle_name": "BATEMAN",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "447687887004",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "BATEMAN",
            "credential": "PA-C, MPAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.