Individual provider Active NPI

Luci Ann Gratch, ARNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1104102961
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
81057 Issued in OK
Practice address
1211 N Shartel Ave
Suite 700
Oklahoma City, OK 73103-2400
Phone
(405) 702-6700
Fax
(405) 702-6718
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R0081057 OK
Nurse Practitioner 363L00000X 81057 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave
Suite 700
Oklahoma City, OK 73103-2400

Mailing address

1211 N Shartel Ave
Suite 700
Oklahoma City, OK 73103-2400
Phone (405) 702-6700

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
I20120612000107 OK Practitioner - Nurse Practitioner 0547424145 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatic Diseases Clinic of Oklahoma PLLCGroup PAC ID 9931410156, 3 clinicians
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians
PsychplusGroup PAC ID 9234547548, 10 clinicians

Practice addresses (Care Compare)

1015 N Shartel Ave
Oklahoma City, OK 73102-1021
Phone (405) 606-8730

1610 N Bryan Ave
Shawnee, OK 74804-4229
Phone (405) 275-9004

4220 N Classen Blvd
Suite F
Oklahoma City, OK 73118-2416
Phone (405) 259-2333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81057OKMDNurse Practitioner
R0081057OKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Diseases Clinic of Oklahoma, PLLC CurrentSince Feb 3, 2025 Accepting new patients
Oakwood Springs Physician Group LLC CurrentSince Oct 19, 2021 Accepting new patients
Psychplus CurrentSince Nov 1, 2025 Accepting new patients
Medical Resource Management, LLC CurrentSince Aug 1, 2014 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Oakwood Springs, LLC PastSince Oct 19, 2021 Accepting new patients

Locations

4220 N Classen Blvd
Ste F
Oklahoma City, OK 73118
Phone (405) 259-2333

13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000

1015 N Shartel Ave
Oklahoma City, OK 73102
Phone (405) 606-8070

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1104102961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "SUITE 700",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-702-6700",
            "fax_number": "405-702-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "SUITE 700",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-702-6700",
            "fax_number": "405-702-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATCH",
        "first_name": "LUCI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "R0081057",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "81057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.