NPIMap

Individual provider Active NPI

Stacy Lynn Scroggins, PA

  • Physician Assistant
  • McAlester, OK
National Provider Identifier
1851354427
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1066 Issued in OK
Practice address
3101 Elks Road
McAlester, OK 74501
Phone
(918) 426-2442
Fax
(918) 423-4905
NPI assigned
Apr 6, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1066 OK
Physician Assistant 363A00000X 1066 OK Primary

Addresses

Primary practice location

3101 Elks Road
McAlester, OK 74501

Mailing address

101 E. Oklahoma
McAlester, OK 74501
Phone (918) 423-4900

Other identifiers 2

IdentifierTypeStateIssuer
100739490NOtherSOONER CARE PCP
100228530AMedicaidOK

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
I20130308000495 OK Practitioner - Physician Assistant 6507011947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3101 Elk Dr
McAlester, OK 74501-7606
Phone 9184262442212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1066OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hands Healthcare Centers Inc CurrentSince Dec 17, 2018 Accepting new patients
Caring Hands Healthcare Centers Inc CurrentSince Dec 17, 2018 Accepting new patients
Oklahoma Treatment Services LLC CurrentSince Sep 9, 2024 Accepting new patients
Oklahoma Treatment Services LLC Past Accepting new patients
McAlester Regional Health Center Authority Past Accepting new patients
Caring Hands Healthcare Centers Inc Physician Assistant Past Accepting new patients

Locations

200 S 3rd St
Ste B
McAlester, OK 74501
Phone (918) 302-0900

3101 Elk Dr
McAlester, OK 74501
Phone (918) 426-2442

721 S George Nigh Expy
Ste A
McAlester, OK 74501
Phone (918) 429-7950

Interoperability endpoints

  • Direct secure messaging: stacy.scroggins.p1@direct.chhcok.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1851354427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E. OKLAHOMA",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74501",
            "telephone_number": "918-423-4900",
            "fax_number": "918-423-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 ELKS ROAD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74501",
            "telephone_number": "918-426-2442",
            "fax_number": "918-423-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGINS",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA1066",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONER CARE PCP",
            "identifier": "100739490N",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.