Individual provider Active NPI

Sidney Tippin, MPAS, PA-C

  • Physician Assistant
  • Edmond, OK
National Provider Identifier
1750129185
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19119 Issued in TX
Practice address
9800 Abington Cir
Edmond, OK 73025-5002
Phone
(573) 818-5759
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11130 AZ
Physician Assistant 363A00000X 5390 OK
Physician Assistant 363A00000X PA19119 TX Primary

Addresses

Primary practice location

9800 Abington Cir
Edmond, OK 73025-5002

Mailing address

9800 Abington Cir
Edmond, OK 73025-5002
Phone (573) 818-5759

Other practice location 1

1810 N Plano Rd
Richardson, TX 75081-1916
Phone (972) 664-9888

Other practice location 2

6001 W William Cannon Dr Ste 302
Austin, TX 78749-1973
Phone (512) 288-3627

Other practice location 3

914 N Scottsdale Rd Ste 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Other practice location 4

3802 Catclaw Dr
Abilene, TX 79606-8253
Phone (325) 690-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240924003073 OK Practitioner - Physician Assistant 2062953532 Reassigns benefits to 2 organizations
I20250609001851 TX Practitioner - Physician Assistant 2062953532 Reassigns benefits to 3 organizations
I20251024003104 AZ Practitioner - Physician Assistant 2062953532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210

9917 SE 15TH St
Midwest City, OK 73130-5504
Phone (405) 622-2070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5390OKMDPeriodontist
11130AZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince May 30, 2025 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 30, 2025 Accepting new patients
Nextcare Arizona LLC CurrentSince Jul 22, 2025 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Jul 22, 2025 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

1810 N Plano Rd
Richardson, TX 75081
Phone (972) 664-9888

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: sidney.tippinpac.p6@direct.nextcare.nextgenshare.com
  • Direct secure messaging: sidney.tippinpac.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: sidney.tippinpac.p14@direct.nextcare.nextgenshare.com
  • Direct secure messaging: sidney.tippinpac.p10@direct.nextcare.nextgenshare.com
  • Direct secure messaging: sidney.tippinpac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: sidney.tippinpac.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1750129185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 ABINGTON CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730255002",
            "telephone_number": "573-818-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 ABINGTON CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730255002",
            "telephone_number": "573-818-5759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 N Plano Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750811916",
            "country_code": "US",
            "telephone_number": "972-664-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 W William Cannon Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787491973",
            "country_code": "US",
            "telephone_number": "512-288-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 N Scottsdale Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852882116",
            "country_code": "US",
            "telephone_number": "480-924-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3802 Catclaw Dr",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796068253",
            "country_code": "US",
            "telephone_number": "325-690-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPIN",
        "first_name": "SIDNEY",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11130",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5390",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.