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Deactivated NPI 1477537587 Deactivated / Inactive NPI Female Practitioner

Kelley Lee Ford , PA

Physician Assistant • Mcalester, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelley Ford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005
NPI Deactivation Date July 16, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Kelley Ford, PA was a registered Physician Assistant practicing in Mcalester, OK. Throughout an active medical career spanning 14 years, Kelley Ford provided care at the practice location at 3 E CLARK BASS BLVD until profile deactivation on 2019-07-16.

Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3 E Clark Bass Blvd
Suite 2

Mcalester, OK 745014283

Telephone 9184216960
Fax 9184216094
Associated Practice Facility / Clinic
🏢 Mcalester Care Associates Facility NPI 1609025873

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mcalester, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Mcalester, OK (1911 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
75 74 $119.84 $95.90
99283 Emergency department visit with low level of medical decision making
28 28 $99.90 $51.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 23 $127.00 $64.15
99282 Emergency department visit with straightforward medical decision making
20 19 $40.81 $34.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $127.00 $64.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 2291

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Linda Dodson , APRN CNP

Nurse Practitioner - Family

NPI 1144206780

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Daneal Dobbs , ARNP

Nurse Practitioner

NPI 1154825206

Advanced Registered Nurse Practitioner

Melody Emerson , FNP-BC

Nurse Practitioner - Family

NPI 1184074528

Family Nurse Practitioner (Board Certified)

Jacqueline Turnbull , ARNP-C

Nurse Practitioner - Family

NPI 1205876455

ARNPC

Wanda Choate , APRN, NP-CNP

Nurse Practitioner - Family

NPI 1356896856

Advanced Practice Registered Nurse, NPCNP

Dr. Pedro Cardich , MD

Psychiatry & Neurology - Neurology

NPI 1558312280

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 16, 2019

Record deactivated on July 16, 2019

NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2016

Registered at 3 E CLARK BASS BLVD, SUITE 2, MCALESTER, OK 745014283 (Tel: 9184216960)

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Updated Business Mailing Address April 28, 2016

Registered at 1 E CLARK BASS BLVD, MCALESTER, OK 745014209 (Tel: 9184216960)

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Provider Name / Credentials Updated April 28, 2016

Recorded as KELLEY FORD, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Physician Assistant (License #2291 in OK)

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Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477537587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: April 28, 2016
Deactivation Date: July 16, 2019

Mailing Address

1 E Clark Bass Blvd

Mcalester, OK 745014209

Phone: 9184216960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.