Individual provider Active NPI

Scott Evan Hassell, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1639448780
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2059 Issued in OK
Practice address
8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Phone
(405) 632-4468
Fax
(405) 632-0436
NPI assigned
Dec 19, 2011
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2059 OK Primary
Medical Physician Assistant 363AM0700X 2059 OK
Surgical Physician Assistant 363AS0400X 2059 OK

Addresses

Primary practice location

8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475

Mailing address

8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Other identifiers 1

IdentifierTypeStateIssuer
2059OtherOKMEDICAL LICENSE

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
I20120319000055 OK Practitioner - Physician Assistant 5799944351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2506 N Harrison St
Shawnee, OK 74804-3131
Phone (405) 395-9050

8100 S Walker Ave
BLDG a
Oklahoma City, OK 73139-9475

8100 S Walker Ave BLDG a
Southwest Orthopaedic and Reconstructive
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.92 of 100Reported as group
Quality
56.21
Promoting interoperability
100
Improvement activities
40
Cost
66.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2059OKMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopaedic Specialists, P.L.L.C. CurrentSince Jan 3, 2012 Accepting new patients
Southwest Orthopaedic Specialists, PLLC CurrentSince Jan 3, 2012 Accepting new patients
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

6001 NW 139th St
Ste A
Oklahoma City, OK 73142
Phone (405) 635-3511

8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500

8100 S Walker Ave
Bldg A
Oklahoma City, OK 73139

8100 S Walker Ave
Ste A
Oklahoma City, OK 73139

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

1805 Commons Cir
Ste 100C
Yukon, OK 73099
Phone (405) 265-0165

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/
  • Direct secure messaging: shassell@direct.uspi.com
  • Direct secure messaging: shassell72478@direct.integrisok.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.

Hospital & facility affiliations 6

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1639448780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELL",
        "first_name": "SCOTT",
        "middle_name": "EVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2059",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2059",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "2059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2059",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.