INTEGRIS BASS BAPTIST HEALTH CENTER
NPI 1124029293
Family Medicine in Waynoka, OK

Active since August 10, 2005
1084 NICKERSON ST, WAYNOKA, OK 73860(580) 824-2281 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integris Bass Baptist Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRIS BASS BAPTIST HEALTH CENTER (NPI 1124029293), doing business as Integris Health Medical Group Waynoka, is a healthcare organization registered as a family medicine in Waynoka, Oklahoma and active in the NPI registry since August 2005. The organization lists Donna Wallace, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1124029293
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTEGRIS BASS BAPTIST HEALTH CENTER
Location Address1084 NICKERSON STWaynoka, OK 73860-1245
Mailing AddressPo Box 200731Dallas, TX 75320-0731 · (405) 252-8400
Organization SubpartNo
Authorized OfficialDonna WallaceAssistant Treasurer · (636) 359-4890
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1124029293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1084 NICKERSON ST, Waynoka, OK 73860

Other Names 1

Doing Business AsIntegris Health Medical Group Waynoka

Other Identifiers 2

Medicaid100699500KOK
Medicaid100755790COK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integris Bass Baptist Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Integris Bass Baptist Health Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Gastroenterology9
Nurse Practitioner6
Family Practice5
Internal Medicine2
Neurology2
Emergency Medicine1

Nearest to this location (20)

See all 25
Family Practice
NPI 1952627069
3815 W. CARRIER RD
Enid, OK 73703
(580) 278-6804
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1831506849
2821 N VAN BUREN ST
Enid, OK 73703
(580) 213-9794
✔ PECOS✔ Accepts Medicare56 mi
Family Practice
NPI 1376746925
2821 N VAN BUREN SUITE B
Enid, OK 73701
(580) 977-1834
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1083283329
620 S MADISON ST STE 209A
Enid, OK 73701
(580) 233-2300
✔ PECOS✔ Accepts Medicare57 mi
Family Practice
NPI 1386267425
620 S MADISON ST STE 203
Enid, OK 73701
(580) 548-1544
✔ PECOS✔ Accepts Medicare57 mi
Emergency Medicine
NPI 1215999479
707 S. MONROE STREET EMERGENCY DEPARTMENT
Enid, OK 73701
(580) 548-1367
✔ PECOS57 mi
Family Practice
NPI 1639224264
915 E GARRIOTT RD STE B
Enid, OK 73701
(580) 242-4300
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1639712326
1805 W GARRIOTT RD
Enid, OK 73703
(580) 977-1826
✔ PECOS✔ Accepts Medicare57 mi
Family Practice
NPI 1174516967
401 S 3RD ST
Enid, OK 73701
(580) 548-1112
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1326637471
915 E GARRIOTT RD
Enid, OK 73701
(580) 242-5100
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1386377000
500 N MAIN ST
Hennessey, OK 73742
(405) 853-6100
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1568424190
158 E SUNSET DR SUITE B
Medford, OK 73759
(580) 395-2319
✔ PECOS✔ Accepts Medicare65 mi
Gastroenterology
NPI 1043339575
4811 GAILLARDIA PKWY STE. 200
Oklahoma City, OK 73142
(405) 751-4199
✔ PECOS✔ Accepts Medicare97 mi
Gastroenterology
NPI 1578799508
5701 N PORTLAND AVE STE 101
Oklahoma City, OK 73112
(405) 727-3065
✔ PECOS✔ Accepts Medicare102 mi
Gastroenterology
NPI 1295963247
5701 N PORTLAND AVE STE 101
Oklahoma City, OK 73112
(405) 727-3065
✔ PECOS✔ Accepts Medicare102 mi
Gastroenterology
NPI 1598907115
3366 NW EXPRESSWAY SUITE 400
Oklahoma City, OK 73112
(405) 702-1300
✔ PECOS✔ Accepts Medicare103 mi
Internal Medicine
NPI 1952895906
3366 NW EXPRESSWAY STE 400
Oklahoma City, OK 73112
(405) 702-1300
✔ PECOS✔ Accepts Medicare103 mi
Neurology
NPI 1437325438
3330 NW 56TH ST STE 500
Oklahoma City, OK 73112
(405) 713-7060
✔ PECOS✔ Accepts Medicare103 mi
Internal Medicine
NPI 1649245929
5015 N PENNSYLVANIA AVE SUITE 303
Oklahoma City, OK 73112
(405) 767-6630
✔ PECOS✔ Accepts Medicare104 mi
Neurology
NPI 1336231430
4221 S WESTERN SUITE 5000
Oklahoma City, OK 73109
(405) 644-5160
✔ PECOS110 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integris Bass Baptist Health Center's NPI number?

The NPI number for Integris Bass Baptist Health Center is 1124029293. It was assigned to this organization in the NPPES registry on August 10, 2005. The provider is doing business as Integris Health Medical Group Waynoka.

Where is Integris Bass Baptist Health Center located?

Integris Bass Baptist Health Center is located at 1084 Nickerson St, Waynoka, OK 73860. The listed phone number is (580) 824-2281.

What is Integris Bass Baptist Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Integris Bass Baptist Health Center enrolled in Medicare?

Yes. Integris Bass Baptist Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integris Bass Baptist Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 6 Medicare specialties reassign their Medicare billing to Integris Bass Baptist Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Gastroenterology (9), Nurse Practitioner (6) and Family Practice (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integris Bass Baptist Health Center accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Integris Bass Baptist Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integris Bass Baptist Health Center was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.