MRS. KALLIE BLYTHE HUMPHREYS PA-C
NPI 1194061143
Physician Assistant in Oklahoma City, OK

Active since December 19, 2012PECOS Enrolled
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112(405) 949-3011 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 8, 2022, Jun 17, 2020, Jun 4, 2020 (3 updates tracked since 2020).

About Mrs. Kallie Blythe Humphreys Pa-c NPPES

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

MRS. KALLIE BLYTHE HUMPHREYS PA-C (NPI 1194061143) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (2188) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Midwest City.

NPPES Registry Identity

NPI1194061143
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KALLIE BLYTHE HUMPHREYSCredential: PA-C
Location Address3300 NW EXPRESSWAYOklahoma City, OK 73112-4999
Mailing AddressPo Box 269032Oklahoma City, OK 73126-9032 · (405) 951-2545
Sole ProprietorNo
Enumeration DateDecember 19, 2012
Last NPPES UpdateJune 8, 20223 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
NPI 1194061143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 2188
Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License APA2188 (OK)
3300 NW EXPRESSWAY, Oklahoma City, OK 73112

Secondary Practice Location 1

Location 12825 Parklawn DrMidwest City, OK 73110-4201 · Phone (405) 610-4411

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kallie Blythe Humphreys Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit with high level of medical decision making

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 32 times for 32 patients

Emergency department visit with moderate level of medical decision making

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 28 times for 25 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 73112 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.46
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $20.61
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Neonatal-Perinatal Medicine)
3300 NW EXPRESSWAY, 4TH FLOOR NICU
OKLAHOMA CITY, OK 73112
Anesthesiology
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY
OKLAHOMA CITY, OK 73112
Anesthesiology
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Obstetrics & Gynecology (Gynecology)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physical Therapy Assistant
3300 NW EXPRESSWAY, SUITE 809
OKLAHOMA CITY, OK 73112
Radiology (Diagnostic Radiology)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Clinical Nurse Specialist (Acute Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Hospitalist
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
General Acute Care Hospital
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physical Therapist
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Dietitian, Registered
3300 NW EXPRESSWAY, INTEGRIS-BAPTIST MEDICAL CENTER
OKC, OK 73112
Pediatrics (Neonatal-Perinatal Medicine)
3300 NW EXPRESSWAY, DEPT. OF NICU
OKLAHOMA CITY, OK 73112
Nurse Practitioner
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Family)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Transplant Surgery
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Registered Nurse (Lactation Consultant)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194061143, enumerated as an "individual" on December 19, 2012.

The provider is located at 3300 NW EXPRESSWAY OKLAHOMA CITY, OK 73112 and the phone number is (405) 949-3011.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and Medica. Please consult your insurance carrier or call the provider to verify.