Individual provider Active NPI

Joseph Nathaniel Stancampiano, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1467078519
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3433 NW 56TH St Ste 900
Oklahoma City, OK 73112-4452
Phone
(405) 713-9935
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 Primary

Addresses

Primary practice location

3433 NW 56TH St Ste 900
Oklahoma City, OK 73112-4452

Mailing address

3433 NW 56TH St Ste 900
Oklahoma City, OK 73112-4452
Phone (405) 713-9935

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
I20211222000087 OK Practitioner - Physician Assistant 8628469954 Reassigns benefits to 11 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Healdton, Inc. CurrentSince May 15, 2024 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince May 15, 2024 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince May 15, 2024 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince May 15, 2024 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince May 15, 2024 Accepting new patients
Nes Oklahoma, Inc. CurrentSince Oct 21, 2022 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince May 15, 2024 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince May 15, 2024 Accepting new patients
Kiowa County Hospital Authority CurrentSince Jul 11, 2025 Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

429 W Elm St
Hobart, OK 73651
Phone (580) 726-1900

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1467078519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124452",
            "telephone_number": "405-713-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124452",
            "telephone_number": "405-713-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCAMPIANO",
        "first_name": "JOSEPH",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.