NPIMap

Individual provider Active NPI

Stacy S. Brown, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1841274099
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1182 Issued in OK
Practice address
3115 SW 89TH St
Oklahoma City, OK 73159-7901
Phone
(405) 427-3705
Fax
(405) 427-3738
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 1182 OK Primary

Addresses

Primary practice location

3115 SW 89TH St
Oklahoma City, OK 73159-7901

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 419-8465

Other identifiers 2

IdentifierTypeStateIssuer
100097540AMedicaidOK
P00878500OtherOKMEDICARE RAILROAD

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
I20040727001632 OK Practitioner - Physician Assistant 6709856776 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho CentralGroup PAC ID 9830526615, 33 clinicians

Practice addresses (Care Compare)

1710 W 3Rd St
Elk City, OK 73644-5160
Phone (580) 225-2511

1800 W 1St St
Elk City, OK 73644-3133

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

1819 W 3Rd St
Great Plains Regional Medical Center
Elk City, OK 73644-5145
Phone (580) 225-2511

3400 E Tecumseh Rd
Suite 101
Norman, OK 73072-1810
Phone (405) 360-6764

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
1182OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Ortho Central CurrentSince Jan 26, 2026 Accepting new patients
Farmers Union Hospital Association CurrentSince Nov 8, 2021 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Ortho Central Physician Assistant CurrentSince Jan 26, 2026 Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients
Emergency Management Associates PC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

3400 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 515-0649

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

3115 SW 89th St
Oklahoma City, OK 73159
Phone (405) 424-5630

Interoperability endpoints

  • Direct secure messaging: stacy.brown@gprmc.eclinicaldirectplus.com

Organizations & group practices 10

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 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1841274099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-419-8465",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597901",
            "telephone_number": "405-427-3705",
            "fax_number": "405-427-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STACY",
        "middle_name": "S.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097540A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00878500",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.