NPIMap

Individual provider Active NPI

Amber Kathryn Reinecke, PA

  • Medical Physician Assistant
  • Cushing, OK
National Provider Identifier
1679962856
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2478 Issued in OK
Practice address
1025 E 2ND St
Cushing, OK 74023-4136
Phone
(918) 225-3627
Fax
(918) 225-0871
NPI assigned
Jan 12, 2015
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2478 OK Primary

Addresses

Primary practice location

1025 E 2ND St
Cushing, OK 74023-4136

Mailing address

1025 E 2ND St
Cushing, OK 74023-4136
Phone (918) 225-3627

Other identifiers 1

IdentifierTypeStateIssuer
200575350AMedicaidOK

Other names 1

  • Amber Kathryn McKnight Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224001532 OK Practitioner - Physician Assistant 4284950932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2340 E Main St
Cushing, OK 74023-2905
Phone (918) 725-1901

417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2478OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Nov 2, 2019 Accepting new patients
Stillwater Medical Center Authority CurrentSince Nov 2, 2019 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients
Ahs Cushing Hospital LLC Past Accepting new patients

Locations

2340 E Main St
Cushing, OK 74023
Phone (918) 225-0570

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

Interoperability endpoints

  • Direct secure messaging: amber.reinecke.p1@direct.smc.nextgenshare.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 4

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1679962856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E 2ND ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234136",
            "telephone_number": "918-225-3627",
            "fax_number": "918-225-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 2ND ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234136",
            "telephone_number": "918-225-3627",
            "fax_number": "918-225-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "AMBER",
        "middle_name": "KATHRYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200575350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MCKNIGHT",
            "middle_name": "KATHRYN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cushing, OK

Sources for this page

Verify at the official NPI Registry.