Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAEGAN MARIE CULLISON PA-C
NPI 1912744004
Physician Assistant in Oklahoma City, OK

Q: What is Kaegan Cullison's NPI number?

The NPI number for Kaegan Cullison is 1912744004. It was assigned to this individual provider in the NPPES registry on July 15, 2024. The provider is also known as Kaegan Marie Smith.

Q: What is Kaegan Cullison'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 Kaegan Cullison was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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 July 15, 2024PECOS EnrolledAccepts Medicare Assignment

711 STANTON L YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104(405) 271-6434(405) 271-6264 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, May 20, 2026, Sep 20, 2024 and 1 more (4 updates tracked since 2024).

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About Kaegan Marie Cullison Pa-c NPPES

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

KAEGAN MARIE CULLISON PA-C (NPI 1912744004) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5295) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912744004

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAEGAN MARIE CULLISONCredential: PA-C

Location Address711 STANTON L YOUNG BLVD STE 430Oklahoma City, OK 73104-5022

Mailing Address711 Stanton L Young Blvd Ste 430Oklahoma City, OK 73104-5022 · (405) 271-6434 · Fax (405) 271-6264

Phone(405) 271-6434

Fax(405) 271-6264

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 15, 2024

Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1912744004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5295

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.

711 STANTON L YOUNG BLVD STE 430, Oklahoma City, OK 73104

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Other Names 1

Former Name (1)Kaegan Marie Smith

Accepted Insurance

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

Kaegan Marie Cullison 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 ID5890236608

PECOS Enrollment IDI20240920000233

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

50 services15 patients

Hospital Affiliations CMS Care Compare

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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 10

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

LAURIE L HUFF CPHT

Pharmacy Technician