Organization Active NPI

Sage Primary Health PLLC

  • Primary Care Clinic/Center
  • Harrah, OK
National Provider Identifier
1033798277
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAGE PRIMARY HEALTH PLLC
Practice address
20213 NE 23Rd St Ste B1
Harrah, OK 73045-9144
Phone
(405) 590-2032
NPI assigned
Apr 5, 2021
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Jennifer McCammond, APRN-CNP
Title
Owner/Provider
Phone
(405) 347-9017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

20213 NE 23Rd St Ste B1
Harrah, OK 73045-9144

Mailing address

PO Box 156
Harrah, OK 73045-0156
Phone (405) 347-9017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729003597 OK Part B Supplier - Clinic/Group Practice 9638572530 Receives reassigned benefits from 1 practitioner
Practice locations: Harrah, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2222961Sage Primary Health20213 NE 23Rd St Unit B1, Harrah, OK 73045Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Locations

20213 NE 23rd St
Ste B1
Harrah, OK 73045
Phone (405) 347-9017

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23239/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1033798277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730450156",
            "telephone_number": "405-347-9017",
            "fax_number": "833-907-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20213 NE 23RD ST STE B1",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459144",
            "telephone_number": "405-590-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PRIMARY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MCCAMMOND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "405-347-9017",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.