Kristin Marie Patzkowsky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2824 Issued in OK

Practice address

330 S 5TH St Ste 400
Enid, OK 73701-5863

Phone

(580) 242-2386

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Physician Assistant

Education

University of Oklahoma College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
• Fairview Regional Medical Center Authority Hospital, Fairview, OK, CCN 371329
• Okeene Municipal Hospital Hospital, Okeene, OK, CCN 371327

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as group

Quality

80.43

Promoting interoperability

100

Improvement activities

40

Cost

72.76

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpatzkowsky235918@direct-ehr-ssmhc.com

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.

• Saints Medical Group, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1437195922
  Medicare reassignment Care Compare group NPD
• Saints Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Edmond, OK
  • NPI 1730907700
  NPD

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

• Fairview Regional Medical Center Authority

  • Critical Access Hospital
  • Fairview, OK
  • NPI 1033153309
  Care Compare affiliation
• Okeene Municipal Hospital and Schallmo Authority

  • Critical Access Hospital
  • Okeene, OK
  • NPI 1336142033
  Care Compare affiliation
• Uhs of Oklahoma, LLC

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1508364498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CARACARA DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730728423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST STE 400",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015863",
            "telephone_number": "580-242-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 Broadway Ext",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731146315",
            "country_code": "US",
            "telephone_number": "405-280-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATZKOWSKY",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatzkowsky235918@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kpatzkowsky235918@direct-ehr-ssmhc.com",
            "address_1": "9720 Broadway Ext",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731146315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "9720 Broadway Ext",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731146315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Partida, D.O.
• Nikunjkumar I Patel, MD
• Hillary Marie Patocka, DO
• Ella Patridge
• Gary Patzkowsky, D.O.
• Paul P. Cheng MD PC
• Stacia Paul, BHCMS
• Sydney Pawlik, CLC
• Allison P Payne, MD
• Megan Leighann Peake

• Physician Assistant in Enid, OK
• Providers in Enid, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.

Verify at the official NPI Registry.