KEEGAN ASHLEY HINES
NPI 1225812308
Physician Assistant in Tulsa, OK

Active since August 21, 2023PECOS Enrolled
4720 S HARVARD AVE STE 100, TULSA, OK 74135(918) 749-6730 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keegan Ashley Hines NPPES

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

KEEGAN ASHLEY HINES (NPI 1225812308) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5728) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225812308
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEEGAN ASHLEY HINES
Location Address4720 S HARVARD AVE STE 100Tulsa, OK 74135-3023
Mailing Address4414 Amethyst CirYukon, OK 73099-0715 · (405) 343-2032
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2023
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1225812308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 5728
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.
4720 S HARVARD AVE STE 100, Tulsa, OK 74135

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keegan Ashley Hines is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395220016
PECOS Enrollment IDI20260331002935
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135

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 Keegan Hines's NPI number?

The NPI number for Keegan Hines is 1225812308. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Keegan Hines located?

Keegan Hines practices at 4720 S Harvard Ave Ste 100, Tulsa, OK 74135. The listed phone number is (918) 749-6730.

What is Keegan Hines's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keegan Hines enrolled in Medicare?

Yes. Keegan Hines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keegan Hines was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.