Individual provider Active NPI

Gina Marie Grady, MSN APRN-CNS

  • Clinical Nurse Specialist
  • Norman, OK
National Provider Identifier
1083094908
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
R0070010 Issued in OK
Practice address
3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone
(405) 701-4909
Fax
(405) 310-6161
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X R0070010 OK Primary

Addresses

Primary practice location

3650 W Rock Creek Rd
Norman, OK 73072-2202

Mailing address

3411 W Rock Creek Rd Ste 120
Norman, OK 73072-2466
Phone (405) 759-8407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804003156 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 2860706983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

906 N Boulevard
Edmond, OK 73034-3655
Phone (405) 341-0810

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R0070010OKMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Interventional Pain Management PLLC CurrentSince Jul 1, 2015 Accepting new patients
Norman Interventional Pain Management, PLLC CurrentSince Jul 1, 2015 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Oct 1, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

906 N Boulevard
Edmond, OK 73034
Phone (405) 341-0610

1401 N Garland Rd
Enid, OK 73703
Phone (580) 234-2526

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1083094908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W ROCK CREEK RD STE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722466",
            "telephone_number": "405-759-8407",
            "fax_number": "405-724-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-701-4909",
            "fax_number": "405-310-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "MSN APRN-CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "R0070010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.