WAGONER HOSPITAL AUTHORITY
NPI 1366674772
Clinic/Center - Rural Health in Wagoner, OK
About Wagoner Hospital Authority NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAGONER HOSPITAL AUTHORITY (NPI 1366674772) is a healthcare organization registered as a rural health in Wagoner, Oklahoma and active in the NPI registry since August 2009. The organization maintains a secondary practice location in Muskogee and lists Judith Elizabeth Brown, Business Operations Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wagoner Hospital Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Wagoner Hospital Authority, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 30Source: 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 Wagoner Hospital Authority's NPI number?
The NPI number for Wagoner Hospital Authority is 1366674772. It was assigned to this organization in the NPPES registry on August 18, 2009.
Where is Wagoner Hospital Authority located?
Wagoner Hospital Authority is located at 1202 W Cherokee St Ste E, Wagoner, OK 74467. The listed phone number is (918) 485-1877.
What is Wagoner Hospital Authority's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Wagoner Hospital Authority enrolled in Medicare?
Yes. Wagoner Hospital Authority is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wagoner Hospital Authority?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 17 Medicare specialties reassign their Medicare billing to Wagoner Hospital Authority. 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 Family Practice (9), Emergency Medicine (4) and Orthopedic Surgery (2). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wagoner Hospital Authority was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Wagoner Hospital Authority · NPI 1366674772
Rural Health organization in Wagoner, Oklahoma. Organization record, active in the CMS NPPES registry since August 18, 2009.
## Identity
- **NPI:** 1366674772 (Entity type: Organization)
- **Enumerated:** August 18, 2009
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** Yes (part of Wagoner Hospital Authority)
- **Authorized official:** Judith Brown, BUSINESS OPERATIONS DIRECTOR
## Practice location
- **Address:** 1202 W CHEROKEE ST STE E, Wagoner, OK 74467-4629
- **Phone:** (918) 485-1877 · **Fax:** (918) 485-0535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Emergency Medicine (4), Orthopedic Surgery (2); 2 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1366674772/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2021
- **Other identifiers:** Medicaid 200100890A (OK); Medicaid 200100890C (OK); Other 300522264 (OK); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366674772) · Data from the CMS NPPES public registry.