MELISSA HOGAN (PA) – Physician Assistant, NPI 1023475688

MELISSA HOGAN (PA) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2615 (OK). The NPI Number for MELISSA HOGAN (PA) is 1023475688

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA HOGAN (PA)
NPI
1023475688
Phone
Not provided
Address
650 S PEORIA AVE
Enumeration Date
26 January 2016
Last Update Date
21 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185879471
Graduation Year
2015 (11 years ago)
PAC ID
8527364454
Group Practice PAC ID
9830170687
Professional Enrollment ID
I20160302002283
Address ID
OK741204429TU650XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for MELISSA HOGAN (PA)

  • South Peoria Avenue, Saint Thomas Square, Tulsa, Tulsa County, Oklahoma, 74159, United States

    TULSA, OK 741204429

    Phone:

    Type: Mailing

  • 2325, South Harvard Avenue, Florence Park South, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741143300

    Phone: (918) 712-4301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 103 Open Payments records for all available years, with a total value of $2,128.

Total Amount is formed as General ($2,128) + Research ($0) + Ownership ($0) = $2,128.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($541).

Total Amount

$2,128

General + Research + Ownership

Payments

103

Total payment records

General Amount

$2,128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160302002283IPhysician AssistantOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6045$0
96372Injection of drug or substance under skin or into muscle4614$0
99213Established patient office or other outpatient visit, 20-29 minutes4635$0
View full utilization report →

Insurance plans in this area (ZIP 74120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830170687View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
P S Y C H I A T R YOK
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Clinical Social WorkerOK
Nurse PractitionerOK
P S Y C H I A T R YOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MELISSA HOGAN (PA)?
MELISSA HOGAN (PA) — NPI 1023475688 — is the standard way to identify this listing.
Is MELISSA HOGAN (PA) listed as active for patients and plans?
The listing shows MELISSA HOGAN (PA) as active in the NPI system.
What is MELISSA HOGAN (PA) best known for clinically?
Directory data describes MELISSA HOGAN (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA HOGAN (PA)?
MELISSA HOGAN (PA)'s geographic hint is Tulsa, Oklahoma in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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