WAGONER HOSPITAL AUTHORITY
NPI 1386611580
General Acute Care Hospital in Wagoner, OK

Active since March 07, 2006
1200 W CHEROKEE ST, WAGONER, OK 74467(918) 485-5514(918) 485-9701 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2021, Mar 9, 2018 (2 updates tracked since 2018).

About Wagoner Hospital Authority NPPES

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

WAGONER HOSPITAL AUTHORITY (NPI 1386611580) is a healthcare organization registered as a general acute care hospital in Wagoner, Oklahoma and active in the NPI registry since March 2006. The organization maintains a secondary practice location in Muskogee and lists Debi Hamilton, Chairman, as its authorized official.

NPPES Registry Identity

NPI1386611580
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameWAGONER HOSPITAL AUTHORITY
Location Address1200 W CHEROKEE STWagoner, OK 74467-4624
Mailing Address1200 W Cherokee StWagoner, OK 74467-4624 · (918) 485-5514 · Fax (918) 485-9701
Fax(918) 485-9701
Organization SubpartNo
Authorized OfficialDebi HamiltonChairman · (918) 485-5514
Enumeration DateMarch 7, 2006
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1386611580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in OK · 2298
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1200 W CHEROKEE ST, Wagoner, OK 74467

Secondary Practice Location 1

Location 13501 W Broadway StMuskogee, OK 74401-2138 · Phone (918) 913-9408 · Fax (918) 913-9410

Other Identifiers 3

Other300522264OK · Medicare Clinic Provider Number
Medicaid200100890BOK
Other200100890AOK · Medicaid Provider Number For Physician Billing

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)

Wagoner Hospital Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare 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

Family Practice9
Emergency Medicine4
Orthopedic Surgery2
Psychiatry2
Gastroenterology1
General Practice1
General Surgery1
Infectious Disease1
9 other specialties9

Nearest to this location (20)

See all 30
Nurse Practitioner
NPI 1881271864
1202 W CHEROKEE ST STE E
Wagoner, OK 74467
(918) 485-1877
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1285621482
1202 W CHEROKEE ST STE C
Wagoner, OK 74467
(918) 485-1205
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1245662550
1200 W CHEROKEE ST
Wagoner, OK 74467
(918) 485-1212
✔ Accepts Medicare1.6 mi
Orthopedic Surgery
NPI 1588683510
1202 W CHEROKEE ST STE F
Wagoner, OK 74467
(918) 485-1867
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1780009969
1202 W. CHEROKEE ST STE E
Wagoner, OK 74467
(918) 485-1877
✔ PECOS✔ Accepts Medicare1.6 mi
Mental Health Counselor
NPI 1588134050
1202 W CHEROKEE ST STE G
Wagoner, OK 74467
(918) 614-5536
✔ PECOS✔ Accepts Medicare1.6 mi
Infectious Disease
NPI 1518197524
1202 W CHEROKEE ST STE D
Wagoner, OK 74467
(918) 485-1205
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1457317497
1200 W. CHEROKEE ST
Wagoner, OK 74467
(918) 485-5514
✔ PECOS✔ Accepts Medicare1.7 mi
Psychiatry
NPI 1689660896
1200 W CHEROKEE ST
Wagoner, OK 74467
(918) 682-0700
✔ PECOS✔ Accepts Medicare1.7 mi
Nephrology
NPI 1841428752
3501 W BROADWAY ST
Muskogee, OK 74401
(918) 913-9408
✔ PECOS✔ Accepts Medicare14 mi
Internal Medicine
NPI 1457677023
1245 N BIRCH AVE
Broken Arrow, OK 74012
(918) 294-3278
✔ PECOS✔ Accepts Medicare24 mi
Thoracic Surgery
NPI 1023239720
205 HARRIS CIR STE 202
Tahlequah, OK 74464
(918) 485-0068
✔ PECOS✔ Accepts Medicare25 mi
Emergency Medicine
NPI 1508481292
1400 E DOWNING ST
Tahlequah, OK 74464
(918) 284-3838
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1205815537
10109 E 79TH ST
Tulsa, OK 74133
(918) 521-3688
✔ PECOS✔ Accepts Medicare27 mi
Podiatry
NPI 1558898114
3315 E 47TH PL STE 102
Tulsa, OK 74135
(918) 951-0968
✔ PECOS✔ Accepts Medicare32 mi
Emergency Medicine
NPI 1295458008
1111 W 17TH ST
Tulsa, OK 74107
(918) 633-5560
✔ PECOS✔ Accepts Medicare36 mi
Psychiatry
NPI 1023770039
1111 W 17TH ST
Tulsa, OK 74107
(918) 582-1972
✔ PECOS36 mi
Otolaryngology
NPI 1568456499
1101 S BELMONT AVE SUITE 101
Okmulgee, OK 74447
(918) 756-9271
✔ PECOS39 mi
Orthopedic Surgery
NPI 1649554593
1401 W LOCUST ST STE 102
Stilwell, OK 74960
(918) 696-4065
✔ PECOS✔ Accepts Medicare44 mi
Osteopathic Manipulative Medicine
NPI 1639530769
1401 W LOCUST ST
Stilwell, OK 74960
(918) 696-3101
✔ PECOS✔ Accepts Medicare44 mi
See all 30 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 Wagoner Hospital Authority's NPI number?

The NPI number for Wagoner Hospital Authority is 1386611580. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Wagoner Hospital Authority located?

Wagoner Hospital Authority is located at 1200 W Cherokee St, Wagoner, OK 74467. The listed phone number is (918) 485-5514.

What is Wagoner Hospital Authority's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

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.

What insurance does Wagoner Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Wagoner Hospital Authority 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 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.