Individual provider Active NPI

Julia Hope Conneywerdy, PA-C

  • Physician Assistant
  • Stillwater, OK
National Provider Identifier
1801369574
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2980 Issued in OK
Practice address
518 E Lakeview Rd
Stillwater, OK 74075-2825
Phone
(405) 533-8990
Fax
(405) 533-3103
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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 2980 OK Primary

Addresses

Primary practice location

518 E Lakeview Rd
Stillwater, OK 74075-2825

Mailing address

302 4TH St
Red Rock, OK 74651-0488
Phone (580) 382-1966

Other practice location 1

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190221000610 TX Practitioner - Physician Assistant 7517205388 Reassigns benefits to 1 organization
I20240828005344 OK Practitioner - Physician Assistant 7517205388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770

518 E Lakeview Rd
Stillwater, OK 74075-2825
Phone (405) 533-8990

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Aug 26, 2024 Accepting new patients
Stillwater Medical Center Authority Physician Assistant CurrentSince Aug 26, 2024 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Jan 31, 2019 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Jan 31, 2019 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

518 E Lakeview Rd
Stillwater, OK 74075
Phone (405) 533-8990

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: juliahope.conneywerdy.p1@direct.smc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1801369574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 4TH ST",
            "city": "RED ROCK",
            "state": "OK",
            "postal_code": "746510488",
            "telephone_number": "580-382-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E LAKEVIEW RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752825",
            "telephone_number": "405-533-8990",
            "fax_number": "405-533-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Stonecipher Dr",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748203439",
            "country_code": "US",
            "telephone_number": "580-436-3980",
            "fax_number": "580-272-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNEYWERDY",
        "first_name": "JULIA",
        "middle_name": "HOPE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.