Active NPI
Erin M. Krueger, PA-C
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1866
- Practice address
- 3400 N.W. Expressway
BLDG C., Ste 105
Oklahoma City, OK 73112-4493 - Phone
- (405) 947-3335
- Fax
- (405) 947-3342
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1333 | OK | |
| Physician Assistant | 363A00000X | PA1866 | OK | Primary |
Addresses
Primary practice location
3400 N.W. Expressway
BLDG C., Ste 105
Oklahoma City, OK 73112-4493
Mailing address
4334 NW Expressway
Ste 214
Oklahoma City, OK 73116-1578
Phone (405) 753-6200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3433 NW 56TH St
Oklahoma City, OK 73112-4430
3433 NW 56TH St
Suite 760
Oklahoma City, OK 73112-4461
Phone (405) 951-4345
4221 S Western Ave
2010 Southwest CVC
Oklahoma City, OK 73109-3445
Phone (405) 644-5120
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.7 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1333 | OK | MD | Mental Health Counselor |
| 1866 | OK | MD | Registered Dietitian |
| PA1866 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- ekrueger59637@direct.integrisok.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1609838507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 NW EXPRESSWAY",
"address_2": "STE 214",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161578",
"telephone_number": "405-753-6200",
"fax_number": "405-947-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 N.W. EXPRESSWAY",
"address_2": "BLDG C., STE 105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124493",
"telephone_number": "405-947-3335",
"fax_number": "405-947-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "ERIN",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1333",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA1866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.