Denise Renee Branson, PA-C
Individual provider Active NPI Physician Assistant · Mustang, OK
NPI 1639314693 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1639314693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2433 (OK)
- Practice address
- 201 S Sara Rd Ste 200
Mustang, OK 73064 - Phone
- (405) 578-3250
- Fax
- (405) 578-3299
- NPI assigned
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saints Medical Group, LLC
Practice addresses (Care Compare)
608 NW 9TH St
Oklahoma City, OK 73102-1049
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Oklahoma City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150319001132 | OK | Practitioner - Physician Assistant | 0941472195 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2433 | OK | MD | Occupational Therapy Assistant |
| PA04415 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients |
Locations
201 S Sara Rd
Ste 200
Mustang, OK 73064
Phone (405) 578-3250
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
Interoperability endpoints
- dbranson136264@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2433 | OK | Yes |
| Physician Assistant | 363A00000X | PA04415 | TX |
Addresses
Primary practice location
201 S Sara Rd Ste 200
Mustang, OK 73064
Mailing address
201 S Sara Rd Ste 200
Mustang, OK 73064-4308
Phone (405) 578-3250
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbranson136264@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Mustang, OK
- Mariah Bolden
- Brycklynn Boyles
- Naomi Bradley
- Benjamin George Braney
- Kennedie Adison Brannon
- Mary Danielle Branson
- Brenlyn Breshears
- Bridges Behavioral Health LLC
- Talajhia Briggs
- Brighter Horizons Therapy Solutions, PLLC
All providers in Mustang, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.