SEAN T PAQUETTE (PA-C) – Physician Assistant, NPI 1881824209

SEAN T PAQUETTE (PA-C) is a healthcare provider. based in Owasso, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5748 (OK). The NPI Number for SEAN T PAQUETTE (PA-C) is 1881824209

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SEAN T PAQUETTE (PA-C)
NPI
1881824209
Phone
(916) 943-8117
Address
18632 E CROOKED OAK DR
Enumeration Date
20 July 2009
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
9186825501
Graduation Year
2009 (17 years ago)
PAC ID
4880730266
Group Practice PAC ID
5395234678
Professional Enrollment ID
I20260113002133
Address ID
OK744015075MU300XXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:16State licenses:2Other names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for SEAN T PAQUETTE (PA-C)

  • 18632 E CROOKED OAK DR

    OWASSO, OK 740555047

    Phone: (916) 943-8117

    Type: Mailing

  • 6161 S YALE AVE

    TULSA, OK 741361902

    Phone: (916) 943-8117

    Type: Location

  • 6403 COYLE AVE STE 170

    CARMICHAEL, CA 956080363

    Phone: (916) 965-4000

    Fax: (916) 965-4813

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110523000238IPhysician AssistantCATBD
I20260113002133IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74055)

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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: 5395234678View full group profile
NameSpecialtyState
Nurse PractitionerWI
Emergency MedicineTX
Physician AssistantOK
Emergency MedicineCA
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantMO

Reviews

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Frequently asked questions

What federal number belongs to SEAN T PAQUETTE (PA-C)?
The federal identifier for SEAN T PAQUETTE (PA-C) is NPI 1881824209.
Is SEAN T PAQUETTE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SEAN T PAQUETTE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for SEAN T PAQUETTE (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place SEAN T PAQUETTE (PA-C)?
The snapshot lists Owasso, Oklahoma for SEAN T PAQUETTE (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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