Michelle Ann Grayson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1803 South Wood Drive
Okmulgee, OK 74447

Phone

(918) 756-9250

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1841311289
  Medicare reassignment Care Compare group NPD
• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Miami, OK
  • NPI 1104360692
  NPD
• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1023655404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 632",
            "city": "BEGGS",
            "state": "OK",
            "postal_code": "74421",
            "telephone_number": "918-313-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SOUTH WOOD DRIVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 South Creek Avenue",
            "address_2": "25",
            "address_purpose": "LOCATION",
            "city": "Beggs",
            "state": "OK",
            "postal_code": "74421",
            "country_code": "US",
            "telephone_number": "918-313-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna George, APRN, FNP-C
• Christina Cassandra Gerena, FNP-C
• Ethan Joseph Gerstein, OD
• Sara-Ann Gill
• Emma Elizabeth Gordon
• Brenda Joyce Green
• Caryn Michele Green
• Rayvin Nicole Hack, COTA/L
• Tonya Lynn Hacker
• Paul Hailes, OT

• Case Manager/Care Coordinator in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.