NPIMap

Individual provider Active NPI

Cindy A Hagan, PA-C

  • Medical Physician Assistant
  • Edmond, OK
National Provider Identifier
1992773709
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1245 Issued in OK
Practice address
1701 Renaissance Blvd
Suite 110
Edmond, OK 73013
Phone
(405) 844-4978
Fax
(405) 844-0562
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1245 OK Primary

Addresses

Primary practice location

1701 Renaissance Blvd
Suite 110
Edmond, OK 73013

Mailing address

1701 Renaissance Blvd
Suite 110
Edmond, OK 73013-3084
Phone (405) 844-4978

Other names 1

  • Cindy A Chtay Former name

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
I20040810000293 OK Practitioner - Physician Assistant 4688646797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Arthritis Center, P.C.Group PAC ID 0446239743, 45 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1701 Renaissance Blvd
Edmond, OK 73013-3084

2230 N Perkins Rd
Stillwater, OK 74075-3076
Phone (405) 780-9919

Hospital & facility affiliations

  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

Merit-based Incentive Payment System (MIPS)

Final score
74.12 of 100Reported as group
Quality
64.14
Promoting interoperability
75
Improvement activities
40
Cost
70.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1245OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cindyhagan@oac.allscriptsdirect.net

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.

Hospital & facility affiliations 8

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1992773709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD",
            "address_2": "SUITE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133084",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD",
            "address_2": "SUITE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "CINDY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "CHTAY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.