Active NPI
Sherry Heck, PAC
- Physician Assistant
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1386
- Practice address
- 530 N Monte Vista St
Suite a
Ada, OK 74820-4675 - Phone
- (580) 310-9510
- Fax
- (580) 436-4447
- NPI assigned
- Dec 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1386 | OK | Primary |
Addresses
Primary practice location
530 N Monte Vista St
Suite a
Ada, OK 74820-4675
Mailing address
530 N Monte Vista
Suite a
Ada, OK 74820-4675
Phone (580) 310-9510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
Hospital & facility affiliations
- Creek Nation Community Hospital
- Muscogee (Creek) Nation Medical Center
- Council Oak Comprehensive Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital and Clinics Board | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
Dept 1467
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- sheck266423@directc.mercy.net
Organizations & group practices 8
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.
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1033511480
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- General Acute Care Hospital
- Okemah, OK
- NPI 1689727588
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1902236573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619954690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N MONTE VISTA",
"address_2": "SUITE A",
"city": "ADA",
"state": "OK",
"postal_code": "748204675",
"telephone_number": "580-310-9510",
"fax_number": "580-436-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N MONTE VISTA ST",
"address_2": "SUITE A",
"city": "ADA",
"state": "OK",
"postal_code": "748204675",
"telephone_number": "580-310-9510",
"fax_number": "580-436-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "SHERRY",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.