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MRS. KELLY DAWN MOAK PA-C
NPI 1598860520
Physician Assistant - Medical in Choctaw, OK

Active since September 14, 2006PECOS Enrolled
14321 NE 23RD ST, CHOCTAW, OK 73020(405) 342-0255(405) 610-6960 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kelly Dawn Moak Pa-c NPPES

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

MRS. KELLY DAWN MOAK PA-C (NPI 1598860520) is an individual medical provider in Choctaw, Oklahoma, licensed in Oklahoma (2482) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chickasha.

NPPES Registry Identity

NPI1598860520
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KELLY DAWN MOAKCredential: PA-C
Location Address14321 NE 23RD STChoctaw, OK 73020-8624
Mailing Address2100 W Iowa AveChickasha, OK 73018-2736 · (405) 224-2100 · Fax (405) 779-2244
Phone(405) 342-0255
Fax(405) 610-6960
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1598860520 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 · 2482
14321 NE 23RD ST, Choctaw, OK 73020
Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 W Iowa AveChickasha, OK 73018-2736 · Phone (405) 224-2100 · Fax (405) 779-2244

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Dawn Moak Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. GERARDO LOPEZ MEJIA M.D.
Family Medicine
14321 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 342-0255
MR. ISAAC LELAND SCHMIEDEL PA-C
Physician Assistant
14321 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 342-0255

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 Kelly Moak's NPI number?

The NPI number for Kelly Moak is 1598860520. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Kelly Moak located?

Kelly Moak practices at 14321 NE 23rd St, Choctaw, OK 73020. The listed phone number is (405) 342-0255.

What is Kelly Moak's specialty?

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

Is Kelly Moak enrolled in Medicare?

Yes. Kelly Moak is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Moak accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kelly Moak 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 Kelly Moak was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.