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

Taelor Baetz, PA

Individual provider Physician Assistant · NPI 1881385656

Taelor Baetz, PA is a Physician Assistant in Ponca City, Oklahoma. Qualified in 2023, 3 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2023
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

415 Fairview Ave Ste 201
Ponca City, OK 74601-1932
Phone: (580) 762-9355
Fax: (580) 762-9358
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5266 (OK)

Record details

NPI number1881385656
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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