Individual provider Active NPI

Michael Clarke Hensley, M.D.

  • Obstetrics & Gynecology Physician
  • Weatherford, OK
National Provider Identifier
1629093943
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22596 Issued in OK
Practice address
3739 Legacy
Weatherford, OK 73096-9746
Phone
(580) 774-4791
Fax
(580) 772-2267
NPI assigned
Jul 13, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22596 OK Primary

Addresses

Primary practice location

3739 Legacy
Weatherford, OK 73096-9746

Mailing address

3701 E Main St
Weatherford, OK 73096-3309
Phone (580) 774-4791

Other identifiers 1

IdentifierTypeStateIssuer
100207090AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.hensley.1@4696.direct.athenahealth.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000222 OK Practitioner - Obstetrics/Gynecology 1951303106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.05 of 100Reported as group
Quality
52.07
Promoting interoperability
100
Improvement activities
40
Cost
48.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Weatherford Hospital Authority CurrentSince Nov 7, 2023 Accepting new patients
Weatherford Hospital Authority CurrentSince Nov 7, 2023 Accepting new patients
Weatherford Hospital Authority Current Accepting new patients
Weatherford Hospital Authority Past Accepting new patients
Alacrity Healthcare, LLC PastSince Apr 21, 2015 Accepting new patients

Locations

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

3739 Legacy
Weatherford, OK 73096
Phone (580) 772-2268

3743 Legacy
Weatherford, OK 73096
Phone (580) 772-0223

Interoperability endpoints

  • Direct secure messaging: mhensley402602@direct-ehr-ssmhc.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1629093943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 E MAIN ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730963309",
            "telephone_number": "580-774-4791",
            "fax_number": "580-772-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "580-774-4791",
            "fax_number": "580-772-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "MICHAEL",
        "middle_name": "CLARKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "22596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207090A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.hensley.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "90 N 30th St",
            "address_2": "Suite 6",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736013101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.