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Individual provider Active NPI

Andrea L Krittenbrink, P.A.-C

  • Medical Physician Assistant
  • Yukon, OK
National Provider Identifier
1710994850
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1337 Issued in OK
Practice address
1491 Health Center Parkway
Yukon, OK 73099-6767
Phone
(405) 806-2200
Fax
(405) 806-2207
NPI assigned
Aug 2, 2006
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 1337 OK Primary

Addresses

Primary practice location

1491 Health Center Parkway
Yukon, OK 73099-6767

Mailing address

1491 Health Center Parkway
Yukon, OK 73099-6767
Phone (405) 806-2200

Other identifiers 2

IdentifierTypeStateIssuer
P00268190OtherOKRAILROAD MEDICARE
200025260AMedicaidOK

Other names 1

  • Miss Andrea L Mendell 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
I20040524001027 OK Practitioner - Physician Assistant 0941291272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians
B3W LLCGroup PAC ID 8921279076, 5 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

115 N Mustang Rd
Mustang, OK 73064-3912
Phone (405) 256-5595

1485 Health Ctr Pkwy
Yukon, OK 73099-6492
Phone (405) 341-8829

1491 Health Ctr Pkwy
Yukon, OK 73099-6492
Phone (405) 806-2200

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1337OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC CurrentSince Jan 1, 2026 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

1491 Health Center Pkwy
Yukon, OK 73099
Phone (405) 806-2200

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 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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1710994850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 HEALTH CENTER PARKWAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996767",
            "telephone_number": "405-806-2200",
            "fax_number": "405-806-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 HEALTH CENTER PARKWAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996767",
            "telephone_number": "405-806-2200",
            "fax_number": "405-806-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITTENBRINK",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00268190",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MENDELL",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.