HILLCREST HOSPITAL PRYOR
NPI 1780125005
General Acute Care Hospital in Pryor, OK

Active since March 20, 2017CLIA 37D0474968 · Accreditation
111 N BAILEY ST, PRYOR, OK 74361(918) 824-1191 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2020, Mar 20, 2017 (2 updates tracked since 2017).

About Hillcrest Hospital Pryor NPPES

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

HILLCREST HOSPITAL PRYOR (NPI 1780125005) is a healthcare organization registered as a general acute care hospital in Pryor, Oklahoma and active in the NPI registry since March 2017. The organization holds an CLIA Accreditation certificate valid through February 27, 2027, maintains a secondary practice location in Pryor, and lists Stephen C Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1780125005
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameAHS PRYOR HOSPITAL, LLC
Location Address111 N BAILEY STPryor, OK 74361-4201
Mailing Address1 Burton Hills Blvd, Suite 250Nashville, TN 37215-6293 · (615) 296-3000 · Fax (615) 296-6227
Organization SubpartYesParent: Ardenth Health Partners Llc
Authorized OfficialStephen C PetrovichEvp · (615) 296-3000
Enumeration DateMarch 20, 2017
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1780125005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
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.
111 N BAILEY ST, Pryor, OK 74361

Other Names 1

Doing Business AsHillcrest Hospital Pryor

Secondary Practice Location 1

Location 11301 NE 1st StPryor, OK 74361-8850 · Phone (918) 825-1600

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)

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

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Hillcrest Hospital Pryor, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice8
Internal Medicine2
Nurse Practitioner2

Clinicians, nearest first (12)

Family Practice
NPI 1699216549
1301 NE 1ST ST STE 400
Pryor, OK 74361
(918) 824-7714
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1003107855
1301 NE 1ST ST SUITE 400
Pryor, OK 74361
(918) 824-7714
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1700545662
1301 NE 1ST ST STE 400
Pryor, OK 74361
(918) 824-7714
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1104846732
562 S ELLIOTT ST
Pryor, OK 74361
(918) 824-8000
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1952334955
562 S ELLIOTT ST
Pryor, OK 74361
(918) 824-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1568485589
562 S ELLIOTT ST
Pryor, OK 74361
(918) 824-8000
✔ PECOS0.6 mi
Family Practice
NPI 1447273461
562 S ELLIOTT ST
Pryor, OK 74361
(918) 824-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1871516898
562 S ELLIOTT ST
Pryor, OK 74361
(918) 824-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1679070361
562 S ELLIOTT ST
Pryor, OK 74361
(918) 824-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1164842845
14002 E 21ST ST STE 1130
Tulsa, OK 74134
(918) 439-1500
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1225537277
4408 S HARVARD AVE
Tulsa, OK 74135
(918) 574-0350
✔ PECOS✔ Accepts Medicare38 mi
Family Practice
NPI 1407047723
4318 W OKMULGEE ST
Muskogee, OK 74401
(918) 686-0471
✔ PECOS✔ Accepts Medicare38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 37D0474968

Hillcrest Hospital Pryor Ahs Pryor Hopsital, LLC · Pryor, OK
Active · expires Feb 27, 2027
CLIA Number37D0474968
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorShylashree Chikkamun Edalur
Laboratory Phone(918) 824-7791
Laboratory LocationHillcrest Hospital Pryor Ahs Pryor Hopsital, LLC111 North Bailey Street, Pryor, OK 74361
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ahs Pryor Hospital, LLC's NPI number?

The NPI number for Ahs Pryor Hospital, LLC is 1780125005. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is doing business as Hillcrest Hospital Pryor.

Where is Ahs Pryor Hospital, LLC located?

Ahs Pryor Hospital, LLC is located at 111 N Bailey St, Pryor, OK 74361. The listed phone number is (918) 824-1191.

What is Ahs Pryor Hospital, LLC's specialty?

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

Is Ahs Pryor Hospital, LLC enrolled in Medicare?

Yes. Ahs Pryor Hospital, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahs Pryor Hospital, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Ahs Pryor Hospital, LLC. 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 (8), Internal Medicine (2) and Nurse Practitioner (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ahs Pryor Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 37D0474968) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ahs Pryor Hospital, LLC 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 Ahs Pryor Hospital, LLC 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 Ahs Pryor Hospital, LLC was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.