Kelly Hacker, PA-C
NPI 1104090208 · Physician Assistant · Oklahoma City, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Hacker, PA-C is a Physician Assistant provider in Oklahoma City, OK (NPI 1104090208).
Provider details
- NPI number
- 1104090208
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1373 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
278 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 103 | $101 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 64 | $61 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 56 | $83 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 32 | $39 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $71 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 153 | 83 |
| Losartan Potassium | 103 | 34 |
| Metoprolol Succinate | 87 | 29 |
| Apixabanbrand: Eliquis | 54 | 22 |
| Sacubitril/Valsartanbrand: Entresto | 53 | 14 |
| Amlodipine Besylate | 50 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$251 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2008-04-18
Frequently asked questions
- What is Kelly Hacker's NPI number?
- Kelly Hacker's National Provider Identifier (NPI) is 1104090208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Hacker's specialty?
- Kelly Hacker is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Hacker located?
- Kelly Hacker's practice location on file with NPPES is 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5051.
- What is Kelly Hacker's phone number?
- The practice phone number listed in the NPPES registry for Kelly Hacker is (405) 627-1435.
- Does Kelly Hacker accept Medicare?
- Kelly Hacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Hacker's NPI active?
- Yes — Kelly Hacker's NPI (1104090208) is active in the NPPES registry as of the last update on 2008-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.