Katelyn Ann Puryear, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3217 Issued in OK

Practice address

13313 N Meridian Ave Ste D
Oklahoma City, OK 73120-8316

Phone

(405) 755-4290

Fax

(405) 755-7773

NPI assigned

Jul 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
• Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317
• Mercy Hospital Kingfisher, Inc Hospital, Kingfisher, OK, CCN 371313
• Mercy Hospital Watonga, Inc Hospital, Watonga, OK, CCN 371302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment Care Compare group
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  OK

  Medicare reassignment
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Kingfisher, Inc

  • Critical Access Hospital
  • Kingfisher, OK
  • NPI 1083048417
  Care Compare affiliation
• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818
  Care Compare affiliation
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation
• Mercy Hospital Watonga Inc

  dba Mercy Hospital Watonga

  • Critical Access Hospital
  • Watonga, OK
  • NPI 1497017529
  Care Compare affiliation
• Mercy Hospital Watonga Inc

  dba Mercy Hospital Watonga Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Watonga, OK
  • NPI 1801158522
  Care Compare affiliation

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1912516394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 N MERIDIAN AVE STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208316",
            "telephone_number": "405-755-4290",
            "fax_number": "405-755-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 N MERIDIAN AVE STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208316",
            "telephone_number": "405-755-4290",
            "fax_number": "405-755-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "3217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryne Lane Purser
• Fredette Lenora Pursley, N.P.
• Brett Dillon Purvis, PA-C
• Gregory Purvis Jr.
• Anthony Puryear, B.A.
• Kayla S Puryear
• Paige Puryear, CRNA
• Jessica Gambill Putman, MD
• John Taylor Putman, MD
• Melissa Putman

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.