Individual provider Active NPI

Makayla Briann March, PA

  • Physician Assistant
  • Broken Bow, OK
National Provider Identifier
1700655321
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5180 Issued in OK
Practice address
800 N Park Dr
Broken Bow, OK 74728-2146
Phone
(580) 584-7210
NPI assigned
Dec 22, 2023
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5180 OK Primary

Addresses

Primary practice location

800 N Park Dr
Broken Bow, OK 74728-2146

Mailing address

109 Esplanade Dr
Broken Bow, OK 74728-6103
Phone (580) 306-5446

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
I20240227004370 OK Practitioner - Physician Assistant 2567805286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2809 NE Lincoln Rd
Idabel, OK 74745-2421

403 S Indian Rd
Idabel, OK 74745-5458
Phone 5802866688140

510 S Park Dr
Broken Bow, OK 74728-5330
Phone (580) 286-6688

6026 Battiest Pickens Rd
Broken Bow, OK 74728-5033
Phone 5802866688149

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiamichi Family Medical Center, Inc CurrentSince Apr 7, 2025 Accepting new patients
Kiamichi Family Medical Center, Inc CurrentSince Apr 7, 2025 Accepting new patients
Kiamichi Family Medical Center Inc. Past Accepting new patients

Locations

510 S Park Dr
Broken Bow, OK 74728
Phone (580) 286-6688

2809 NE Lincoln Rd
Idabel, OK 74745
Phone (580) 286-6688

403 S Indian Rd
Idabel, OK 74745
Phone (580) 286-6688

Interoperability endpoints

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

Organizations & group practices 4

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1700655321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ESPLANADE DR",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747286103",
            "telephone_number": "580-306-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N PARK DR",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282146",
            "telephone_number": "580-584-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCH",
        "first_name": "MAKAYLA",
        "middle_name": "BRIANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, OK

Sources for this page

Verify at the official NPI Registry.