Individual provider Active NPI

Madison Winterscheidt, PA-C

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1497486468
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1245 S Utica Ave Ste 300
Tulsa, OK 74104-4214
Phone
(918) 592-0999
Fax
(918) 592-1262
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

1245 S Utica Ave Ste 300
Tulsa, OK 74104-4214

Mailing address

1245 S Utica Ave Ste 300
Tulsa, OK 74104-4214
Phone (918) 592-0999

Other identifiers 1

IdentifierTypeStateIssuer
201104680AMedicaidOK

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
I20230728002783 OK Practitioner - Physician Assistant 0143681734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Heart LLCGroup PAC ID 4587737135, 130 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 592-0999

1265 S Utica Ave
Tulsa, OK 74104-4243

9228 S Mingo Rd
Suite 200
Tulsa, OK 74133-5722
Phone (918) 592-0999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4838OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Physician Assistant CurrentSince Jan 22, 2023 Accepting new patients
Oklahoma Heart Inc Past Accepting new patients
Ahs Oklahoma Physician Group, LLC PastSince Jan 22, 2023 Accepting new patients
Integris Cardiovascular Physicians LLC Past Accepting new patients

Locations

9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

1265 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 855-2570

1245 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 382-2536

Interoperability endpoints

  • Direct secure messaging: mwinterscheidt558844@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/OHI/api/FHIR/R4
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1497486468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-592-0999",
            "fax_number": "918-592-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-592-0999",
            "fax_number": "918-592-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERSCHEIDT",
        "first_name": "MADISON",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201104680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.