DESTINY ETTER
NPI 1770257537
Physician Assistant in Cherokee, OK

Q: What is Destiny Etter's NPI number?

The NPI number for Destiny Etter is 1770257537. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Destiny Etter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Etter was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment

405 S OKLAHOMA AVE, CHEROKEE, OK 73728(580) 596-2800(580) 596-2805 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Nov 1, 2023, Aug 5, 2021 (3 updates tracked since 2021).

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About Destiny Etter NPPES

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

DESTINY ETTER (NPI 1770257537) is an individual physician assistant in Cherokee, Oklahoma and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Integris Bass Baptist Health Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770257537

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDESTINY ETTER

Location Address405 S OKLAHOMA AVECherokee, OK 73728-2545

Mailing Address1111 W 17th StTulsa, OK 74107-1886

Phone(580) 596-2800

Fax(580) 596-2805

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 5, 2021

Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1770257537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

405 S OKLAHOMA AVE, Cherokee, OK 73728

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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

Destiny Etter 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 ID7214388818

PECOS Enrollment IDI20240108005687

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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370016

Location600 South MonroeEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370026

Location305 South 5th StreetEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

TAYLOR WAUGH DO

Family Medicine