Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kyle N Lipke, PA

Individual provider Physician Assistant · NPI 1174719389

Mr. Kyle N Lipke, PA is a Physician Assistant in Crescent, Oklahoma. Qualified in 2007, 19 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
19
Licensed in
OK
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

400 S Grand
Crescent, OK 73028-9118
Phone: (405) 969-2818
Fax: (405) 969-2821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1667 (OK)

Record details

NPI number1174719389
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESJanuary 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare