Individual provider Active NPI

Erin M. Krueger, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1609838507
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1866 Issued in OK
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

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000184 OK Practitioner - Physician Assistant 2365471539 Reassigns benefits to 1 organization

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
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
1333OKMDMental Health Counselor
1866OKMDRegistered Dietitian
PA1866OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sodexo Operations LLC Dietitian, Registered PastSince Aug 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.