Active NPI
Holly Hinds, CRNA
- Certified Registered Nurse Anesthetist
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0059134
- Practice address
- 5602 SW Lee Blvd
Lawton, OK 73505-9699 - Phone
- (580) 531-4727
- Fax
- (580) 531-6430
- NPI assigned
- Jun 22, 2005
- Last updated
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0059134 | OK | Primary |
Addresses
Primary practice location
5602 SW Lee Blvd
Lawton, OK 73505-9699
Mailing address
21090 NE Meers Porter Hill Rd
Fletcher, OK 73541-3263
Phone (580) 480-5063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100782500C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Pecan St
Altus, OK 73521-6141
205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0059134 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Oklahoma, PLLC | Current | Accepting new patients | |
| Ias Oklahoma LLC | Current | Accepting new patients | |
| Clinton Hma, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hosp Phcy | Past | Accepting new patients | |
| George F Robie Jr M D PLLC | Past | Accepting new patients |
Locations
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Anesthesiology Physician
- Lawton, OK
- NPI 1174394365
-
- Obstetrics & Gynecology Physician
- Elk City, OK
- NPI 1558525337
-
dba Jackson County Memorial Hospital Pharmacy
- Institutional Pharmacy
- Altus, OK
- NPI 1518028380
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1578569844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21090 NE MEERS PORTER HILL RD",
"city": "FLETCHER",
"state": "OK",
"postal_code": "735413263",
"telephone_number": "580-480-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5602 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059699",
"telephone_number": "580-531-4727",
"fax_number": "580-531-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDS",
"first_name": "HOLLY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0059134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100782500C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.