Individual provider Active NPI

Amanda Neline Hale, D.O.

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1699215780
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6177 Issued in OK
Practice address
1600 W University Blvd
Durant, OK 74701-3094
Phone
(580) 924-5500
Fax
(580) 924-1991
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6177 OK Primary

Addresses

Primary practice location

1600 W University Blvd
Durant, OK 74701-3094

Mailing address

1600 W University Blvd
Durant, OK 74701-3094
Phone (580) 924-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.hale.1@4696.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828000228 OK Practitioner - Family Practice 3870865793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durant Family Medicine Clinic, IncGroup PAC ID 4082624242, 3 clinicians
Marshall County Hma, LLCGroup PAC ID 5193985653, 11 clinicians

Practice addresses (Care Compare)

1400 Bryan Dr
Suite 201
Durant, OK 74701-2157
Phone (580) 924-5500

1610 W University Blvd
Durant, OK 74701-3096
Phone (580) 924-3400

Hospital & facility affiliations

  • Victory Home Health, LLC Home health agency, Tishomingo, OK, CCN 377574
  • Angels Care Home Health X Home health agency, Durant, OK, CCN 377631
  • Mays Housecall Home Health of Durant Home health agency, Durant, OK, CCN 377748
  • Victory Home Health and Hospice Hospice, Tishomingo, OK, CCN 371563
  • Alliancehealth Madill Hospital, Madill, OK, CCN 371326
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6177OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall County Hma, LLC CurrentSince Aug 1, 2019 Accepting new patients
Marshall County Hma LLC Family Medicine Current Accepting new patients
Marshall County Hma, LLC CurrentSince Aug 1, 2019 Accepting new patients
Durant Hma Physician Management, LLC CurrentSince Aug 1, 2020 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Durant Family Medicine Clinic, Inc Family Medicine CurrentSince May 1, 2021 Accepting new patients
Marshall County Hma LLC Family Medicine Past Accepting new patients
Durant Hma LLC Past Accepting new patients
Marshall County Hma LLC Past Accepting new patients
Marshall County Hma, LLC Past Accepting new patients

Locations

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400

1400 Bryan Dr
Ste 201
Durant, OK 74701
Phone (580) 924-4704

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBEIAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guardian Hospice of OklahomaDurant, OK, CCN 371712 Hospice Contracted Managing Employee
W-2 Managing Employee
Apr 23, 2026
Apr 23, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1699215780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "AMANDA",
        "middle_name": "NELINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.hale.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1610 W University Blvd",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747013096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.