SHELBY MARIE FOGLER
NPI 1306510169
Physician Assistant in Oklahoma City, OK

Q: What is Shelby Fogler's NPI number?

The NPI number for Shelby Fogler is 1306510169. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Shelby Fogler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Fogler was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment

3433 NW 56TH ST STE 760, OKLAHOMA CITY, OK 73112(405) 951-4345 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Aug 5, 2021 (2 updates tracked since 2021).

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About Shelby Marie Fogler NPPES

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

SHELBY MARIE FOGLER (NPI 1306510169) is an individual physician assistant in Oklahoma City, Oklahoma and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306510169

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBY MARIE FOGLER

Location Address3433 NW 56TH ST STE 760Oklahoma City, OK 73112-4461

Mailing Address3433 Nw 56th St Ste 760Oklahoma City, OK 73112-4461 · (405) 951-4345

Phone(405) 951-4345

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 5, 2021

Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration

NPPES CertifiedNovember 12, 2023

✔ NPI 1306510169 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

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 · SurgicalTaxonomy 363AS0400X

3433 NW 56TH ST STE 760, Oklahoma City, OK 73112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Marie Fogler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062863491

PECOS Enrollment IDI20240110000084

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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 8

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

TRENTON KINNEAR MD

Surgery (Vascular Surgery)