Active NPI
Kirsten Short, PA-C
- Physician Assistant
- Edmond, OK
National Provider Identifier
1932598968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2453
- Practice address
- 1218 E 9TH St
Suite 1
Edmond, OK 73034-5952 - Phone
- (405) 896-6777
- Fax
- (405) 896-6825
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2453 | OK | Primary |
Addresses
Primary practice location
1218 E 9TH St
Suite 1
Edmond, OK 73034-5952
Mailing address
1218 E 9TH St
Suite 1
Edmond, OK 73034-5952
Phone (405) 896-6777
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kshort169435@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
608 NW 9TH St
Oklahoma City, OK 73102-1049
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Oklahoma City
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2453 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients |
Locations
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
Interoperability endpoints
- kshort169435@direct-ehr-ssmhc.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1932598968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 E 9TH ST",
"address_2": "SUITE 1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345952",
"telephone_number": "405-896-6777",
"fax_number": "405-896-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 E 9TH ST",
"address_2": "SUITE 1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345952",
"telephone_number": "405-896-6777",
"fax_number": "405-896-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "KIRSTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2453",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kshort169435@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kshort169435@direct-ehr-ssmhc.com",
"address_1": "1218 E 9th St",
"address_2": "Suite 1",
"city": "Edmond",
"state": "OK",
"country_code": "US",
"postal_code": "730345952",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1218 E 9th St",
"address_2": "Suite 1",
"city": "Edmond",
"state": "OK",
"country_code": "US",
"postal_code": "730345952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.