Maissa Baker Mitwalli, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2431 E 61St St Ste 500
Tulsa, OK 74136-1208

Phone

(918) 582-6800

Fax

(918) 582-6060

NPI assigned

Oct 7, 2020

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orthopaedic Center PCGroup PAC ID 8123915626, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
• Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
• Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015
• Cleveland Area Hospital Hospital, Cleveland, OK, CCN 371320
• Hillcrest Hospital Cushing Hospital, Cushing, OK, CCN 370099

Merit-based Incentive Payment System (MIPS)

Final score

73.7 of 100Reported as individual

Quality

76.96

Promoting interoperability

95

Improvement activities

20

Cost

64.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmitwalli330371@ahs.direct-ci.com

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.

• Orthopaedic Center, PC

  dba The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1639115116
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Cushing Hospital LLC

  dba Cushing Regional Hospital

  • General Acute Care Hospital
  • Cushing, OK
  • NPI 1801867643
  Care Compare affiliation
• Ahs Hillcrest Medical Center, LLC

  dba Hillcrest Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229
  Care Compare affiliation
• Ahs Pryor Hospital, LLC

  dba Hillcrest Hospital Pryor

  • General Acute Care Hospital
  • Pryor, OK
  • NPI 1780125005
  Care Compare affiliation
• Cleveland Area Hospital Holdings, Inc.

  dba Cleveland Area Hospital

  • Critical Access Hospital
  • Cleveland, OK
  • NPI 1427295872
  Care Compare affiliation
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1689271041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITWALLI",
        "first_name": "MAISSA",
        "middle_name": "BAKER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Marie Mitchum
• Mahala Beatrice Mittal, OTR/L
• Yogesh Mittal, MD
• Catherine Mitts, ATC, LAT
• Pat Lee Mitts, LCSW
• Charles Mixon, DC
• Robert Mixon, RPA/R.R.A
• Chelsea Elizabeth Mize
• Darren Mize, PTA
• Heather Mizera

• Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.