1. Home
  2. Directory
  3. Oklahoma
  4. Hartshorne
  5. Physician Assistant
  6. NPI Profile

SUSAN LYNNE DAVIS PA-C
NPI 1386734614
Physician Assistant - Medical in Hartshorne, OK

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
1429 PENNSYLVANIA AVE, HARTSHORNE, OK 74547(918) 297-2403(918) 426-0888 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2023, May 15, 2017 (2 updates tracked since 2017).

About Susan Lynne Davis Pa-c NPPES

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

SUSAN LYNNE DAVIS PA-C (NPI 1386734614) is an individual medical provider in Hartshorne, Oklahoma, licensed in Oklahoma (PA533) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Mcalester Regional Health Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1386734614
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN LYNNE DAVISCredential: PA-C
Location Address1429 PENNSYLVANIA AVEHartshorne, OK 74547-3839
Mailing AddressPo Box 1992Mcalester, OK 74502-1992 · (918) 426-2442 · Fax (918) 426-0888
Phone(918) 297-2403
Fax(918) 426-0888
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1386734614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · PA533
1429 PENNSYLVANIA AVE, Hartshorne, OK 74547
Open in Google Maps ↗

Other Names 1

Former Name (1)Susan Lynne Brady Pa-c

Other Identifiers 1

Medicaid200047790AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Susan Lynne Davis Pa-c 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 ID7214993419
PECOS Enrollment IDI20041209000251
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.

Mcalester Regional Health Center

Acute Care Hospitals · Mcalester, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370034
Location1 Clark Bass BoulevardMcalester, OK 74501 · Pittsburg County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims30 services$1.20 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier14 claims28 services$0.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$18.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers38 claims38 services$103.33 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,680 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers22 claims22 services$20.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

CARING HANDS HEALTHCARE CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1429 PENNSYLVANIA AVE
HARTSHORNE, OK 74547
Pittsburg County (918) 297-2403
AZALEAH CARPENTER RN
Registered Nurse (Case Management)
1429 PENNSYLVANIA AVE
HARTSHORNE, OK 74547
Pittsburg County (918) 426-2442

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 Susan Davis's NPI number?

The NPI number for Susan Davis is 1386734614. It was assigned to this individual provider in the NPPES registry on October 16, 2006. The provider is also known as Susan Lynne Brady Pa-C.

Where is Susan Davis located?

Susan Davis practices at 1429 Pennsylvania Ave, Hartshorne, OK 74547. The listed phone number is (918) 297-2403.

What is Susan Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Davis enrolled in Medicare?

Yes. Susan Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Davis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Susan Davis 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.

Is Susan Davis affiliated with any hospitals?

According to CMS data, Susan Davis is affiliated with Mcalester Regional Health Center.

When was this NPI record last updated?

The NPPES record for Susan Davis was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.