Active NPI
Ellen Hoelscher, PA-C
- Physician Assistant
- Pryor, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2633
- Practice address
- 4115 Redden
Pryor, OK 74361-9192 - Phone
- (918) 825-7555
- NPI assigned
- Jan 16, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2633 | OK | Primary |
Addresses
Primary practice location
4115 Redden
Pryor, OK 74361-9192
Mailing address
4115 Redden
Pryor, OK 74361-9192
Other practice location 1
1587 E 59th St
Tulsa, OK 74105-8005
Phone (405) 760-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000
3207 N Academy Blvd
Colorado Springs, CO 80917-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2633 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Past | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
3205 N Academy Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 776-3600
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
Interoperability endpoints
- ellen.hoelscher.p1@direct.peakvista.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
dba Behavioral Health at Inside Out Youth Services
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
-
dba Pediatric Health Center
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1124321880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730625625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 REDDEN",
"city": "PRYOR",
"state": "OK",
"postal_code": "743619192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 REDDEN",
"city": "PRYOR",
"state": "OK",
"postal_code": "743619192",
"telephone_number": "918-825-7555"
}
],
"practiceLocations": [
{
"address_1": "1587 E 59th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741058005",
"country_code": "US",
"telephone_number": "405-760-0303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOELSCHER",
"first_name": "ELLEN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.