NPIMap

Individual provider Active NPI

Keri D McDaniel, PA

  • Physician Assistant
  • Weatherford, OK
National Provider Identifier
1760420673
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
860 Issued in OK
Practice address
215 N Kansas St
Weatherford, OK 73096-5443
Phone
(580) 772-5551
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 860 OK
Physician Assistant 363A00000X 860 OK Primary

Addresses

Primary practice location

215 N Kansas St
Weatherford, OK 73096-5443

Mailing address

2112 Pine View Ter
Edmond, OK 73003-2470

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
I20040227000957 OK Practitioner - Physician Assistant 0042107757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

3025 SW 104TH St
Ou HLTH ER and UC Sokc
Oklahoma City, OK 73159-7036
Phone (405) 300-7740

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Merit-based Incentive Payment System (MIPS)

Final score
70.05 of 100Reported as group
Quality
52.07
Promoting interoperability
100
Improvement activities
40
Cost
48.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
860OKMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mangum City Hospital Authority CurrentSince Jan 17, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Aug 25, 2023 Accepting new patients
Mercy Health Services Inc. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Weatherford Hospital Authority Past Accepting new patients
Morningstar Emergency Physicians PLLC Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients

Locations

1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

Interoperability endpoints

  • Direct secure messaging: kmcdaniel402628@direct-ehr-ssmhc.com

Organizations & group practices 11

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1760420673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PINE VIEW TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N KANSAS ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965443",
            "telephone_number": "580-772-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KERI",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "860",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.