Active NPI
Sage Primary Health PLLC
- Primary Care Clinic/Center
- Harrah, OK
National Provider Identifier
1033798277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2222961 | Sage Primary Health | Certificate of waiver | May 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
20213 NE 23rd St
Ste B1
Harrah, OK 73045
Phone (405) 347-9017
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Harrah, OK
- NPI 1043876071
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
- Valerie Shannon Price, APRN
- Promise Harrah LLC (Harrah Nursing Center)
- Receiver Care LLC (Harrah Nursing Center)
- David Martin Reed, PT
- Michael Steven Reed Jr., D.O.
- Saint Medical Group, LLC (SSM Health Harrah Ambulatory Care)
- Carly Rae Scallorn, PTA
- Alisha Brooke Smith, APRN-CNP
- Trisha Dawn Stevens
- Cynthia Stober, LCMHC,LCAS, LPC
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.