Active NPI
Courtney Patin, PA-C
- Physician Assistant
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1894
- Practice address
- 9312 NW 99TH Cir
Yukon, OK 73099-8599 - Phone
- (405) 650-3781
- Fax
- (405) 945-4901
- NPI assigned
- Apr 6, 2010
- 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 | 1894 | OK | Primary |
Addresses
Primary practice location
9312 NW 99TH Cir
Yukon, OK 73099-8599
Mailing address
3433 NW 56TH St
Suite 750
Oklahoma City, OK 73112-4455
Phone (405) 945-4900
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100816000928 | OK | Practitioner - Physician Assistant | 1052445863 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
2017 W I 35 Frontage Rd
Mercy Clinic
Edmond, OK 73013-8504
Phone (405) 757-3365
4120 W Memorial Rd
Suite 205
Oklahoma City, OK 73120-9322
Phone (405) 749-4205
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Mercy Hospital Logan County
- SSM Health St Anthony Hospital - Oklahoma City
- Integris Canadian Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1894 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Pinnacle Neuro Care Inc | Past | Accepting new patients | |
| The Physicians Group LLC | Physician Assistant | Past | Accepting new patients |
Locations
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Organizations & group practices 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Oklahoma City, OK
- NPI 1750986295
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1568625762
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
Physician Assistant
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1659696342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 NW 56TH ST",
"address_2": "SUITE 750",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124455",
"telephone_number": "405-945-4900",
"fax_number": "405-945-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9312 NW 99TH CIR",
"city": "YUKON",
"state": "OK",
"postal_code": "730998599",
"telephone_number": "405-650-3781",
"fax_number": "405-945-4901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIN",
"first_name": "COURTNEY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.