STILLWATER MEDICAL CENTER AUTHORITY
NPI 1558377135
Family Medicine in Stillwater, OK

Q: What is Stillwater Medical Center Authority's NPI number?

The NPI number for Stillwater Medical Center Authority is 1558377135. It was assigned to this organization in the NPPES registry on August 1, 2006.

Q: What is Stillwater Medical Center Authority's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 01, 2006

1323 W 6TH AVE, STILLWATER, OK 74074(405) 372-1480(405) 742-4990 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Stillwater Medical Center Authority NPPES

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

STILLWATER MEDICAL CENTER AUTHORITY (NPI 1558377135) is a healthcare organization registered as a family medicine in Stillwater, Oklahoma and active in the NPI registry since August 2006. The organization lists Denise Webber, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558377135

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSTILLWATER MEDICAL CENTER AUTHORITY

Location Address1323 W 6TH AVEStillwater, OK 74074-4306

Mailing AddressPo Box 1209Stillwater, OK 74076-1209 · (405) 372-1480 · Fax (405) 742-4990

Phone(405) 372-1480

Fax(405) 742-4990

Organization SubpartNo

Authorized OfficialDenise WebberCeo · (405) 742-5701

Enumeration DateAugust 1, 2006

Last NPPES UpdateJune 8, 2021

NPPES CertifiedJune 8, 2021

✔ NPI 1558377135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X

Also ListedSurgeryTaxonomy 208600000X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1323 W 6TH AVE, Stillwater, OK 74074

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Stillwater Medical Center Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

147

Medicare enrollment records show 147 clinicians reassign Medicare billing to Stillwater Medical Center Authority, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 69 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Nurse Practitioner25

Internal Medicine19

Certified Registered Nurse Anesthetist (CRNA)15

Family Practice12

Physical Therapist in Private Practice7

Anesthesiology6

Obstetrics/Gynecology6

Orthopedic Surgery6

25 other specialties51

Nearest to this location (20)

See all 147

Amar Chandra, DPM

Podiatry

NPI 1376005108

1323 W. 6TH AVE
Stillwater, OK 74074

(405) 533-8850

✔ PECOS✔ Accepts MedicareSame address

Melissa Mcray, APRN

Nurse Practitioner

NPI 1003635285

1323 W 6TH AVE
Stillwater, OK 74074

(405) 784-5842

✔ PECOS✔ Accepts MedicareSame address

Mark Mueller, MD

Emergency Medicine

NPI 1750322848

1323 W 6TH AVE
Stillwater, OK 74074

(405) 742-5454

✔ PECOS✔ Accepts MedicareSame address

Aaron Pierce

Anesthesiology

NPI 1043899297

1323 W 6TH AVE
Stillwater, OK 74074

(405) 784-5842

✔ PECOS✔ Accepts MedicareSame address

Shyam Poludasu, M.D

Interventional Cardiology

NPI 1811171705

1323 W 6TH AVE STE 201
Stillwater, OK 74074

(405) 533-3010

✔ PECOS✔ Accepts MedicareSame address

Justin Rogers, DNAP

Certified Registered Nurse Anesthetist (CRNA)

NPI 1992630537

1323 W 6TH AVE
Stillwater, OK 74074

(405) 365-0039

Same address

Daniel Roton, MD

Internal Medicine

NPI 1679001002

1323 W 6TH AVE
Stillwater, OK 74074

(405) 372-1480

✔ PECOS✔ Accepts MedicareSame address

Kelsey Strom, APRN

Nurse Practitioner

NPI 1417582842

1323 W 6TH AVE STE 201
Stillwater, OK 74074

(404) 533-3010

✔ PECOS✔ Accepts MedicareSame address

Mikaela Weaver, APRN-CNP

Nurse Practitioner

NPI 1588379671

1323 W 6TH AVE
Stillwater, OK 74074

(405) 533-3010

✔ PECOS✔ Accepts MedicareSame address

Kenneth Bates, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1174632152

1323 W 6TH AVE
Stillwater, OK 74074

(405) 372-1480

✔ Accepts MedicareSame address

Bruce Baugher, D.O.

Internal Medicine

NPI 1174582605

1323 W 6TH AVE
Stillwater, OK 74074

(405) 372-1480

✔ PECOS✔ Accepts MedicareSame address

Jason Bennett, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1558327924

1323 W 6TH AVE
Stillwater, OK 74074

(405) 742-5300

✔ Accepts MedicareSame address

Elizabeth Biernat, MD

Anesthesiology

NPI 1386614501

1323 W 6TH AVE
Stillwater, OK 74074

(405) 372-1480

✔ PECOS✔ Accepts MedicareSame address

James Harris, D.O.

Cardiovascular Disease (Cardiology)

NPI 1417139924

1323 W 6TH AVE STE 201
Stillwater, OK 74074

(405) 743-2354

✔ PECOS✔ Accepts MedicareSame address

Michael Huff, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1508887027

1323 W 6TH AVE
Stillwater, OK 74074

(405) 372-1480

✔ PECOS✔ Accepts MedicareSame address

David Kerr, DO

Anesthesiology

NPI 1629048186

1323 W 6TH AVE
Stillwater, OK 74074

(405) 372-1480

✔ PECOS✔ Accepts MedicareSame address

Senthil Nachimuthu, MD

Cardiac Electrophysiology

NPI 1235246018

1323 W 6TH AVE STE 201
Stillwater, OK 74074

(405) 533-3010

✔ PECOS✔ Accepts MedicareSame address

Alex Detwiler, D.O.

Orthopedic Surgery

NPI 1831519107

1301 W 6TH AVE STE 207
Stillwater, OK 74074

(405) 707-0900

✔ PECOS✔ Accepts MedicareSame address

Cara Pence, M.D.

General Surgery

NPI 1467502138

1301 W 6TH AVE STE 105
Stillwater, OK 74074

(405) 533-1074

✔ PECOS✔ Accepts MedicareSame address

Jerrod Vaughn, M.D.

General Surgery

NPI 1326245804

1301 W 6TH AVE STE 105 STILLWATER SURGICAL ASSOCIATES
Stillwater, OK 74074

(405) 533-1074

✔ PECOS✔ Accepts MedicareSame address

See all 147 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 Stillwater Medical Center Authority's NPI number?

The NPI number for Stillwater Medical Center Authority is 1558377135. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Stillwater Medical Center Authority located?

Stillwater Medical Center Authority is located at 1323 W 6th Ave, Stillwater, OK 74074. The listed phone number is (405) 372-1480.

What is Stillwater Medical Center Authority's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stillwater Medical Center Authority enrolled in Medicare?

Yes. Stillwater Medical Center Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stillwater Medical Center Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 147 clinicians in 33 Medicare specialties reassign their Medicare billing to Stillwater Medical Center 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 Nurse Practitioner (25), Internal Medicine (19) and Certified Registered Nurse Anesthetist (CRNA) (15). Of these, 22 practice at this address and 69 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stillwater Medical Center Authority accept?

Health plans from Anthem Blue Cross and Blue Shield list Stillwater Medical Center 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 Stillwater Medical Center Authority was last updated on June 8, 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.