Individual provider Active NPI

Christopher Gray, NP

  • Family Nurse Practitioner
  • Grove, OK
National Provider Identifier
1104468560
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0134650 Issued in OK
Practice address
900 E 13TH St Ste 101
Grove, OK 74344-2976
Phone
(918) 786-9009
Fax
(405) 951-9921
NPI assigned
Oct 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 134650 OK
Family Nurse Practitioner 363LF0000X R0134650 OK Primary

Addresses

Primary practice location

900 E 13TH St Ste 101
Grove, OK 74344-2976

Mailing address

900 E 13TH St Ste 101
Grove, OK 74344-2976
Phone (918) 786-9009

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
I20200127000592 OK Practitioner - Nurse Practitioner 6800221524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Grove HospitalGroup PAC ID 0042105835, 12 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

10 E 13TH St
Integris Express Care Grove
Grove, OK 74344-5300
Phone (918) 786-1909

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Grove, OK, CCN 377072
  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Integris Grove Hospital Hospital, Grove, OK, CCN 370113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0134650OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Dec 16, 2019 Accepting new patients
Integris Grove Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Miami Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Grove Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Miami Hospital Current Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Locations

10 E 13th St
Grove, OK 74344
Phone (918) 786-1909

900 E 13th St
Ste 101
Grove, OK 74344
Phone (417) 624-0440

21 W Central Ave
Miami, OK 74354
Phone (918) 540-7573

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500

Interoperability endpoints

  • Direct secure messaging: cgray192922@direct.integrisok.com

Organizations & group practices 6

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 4

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1104468560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 13TH ST STE 101",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442976",
            "telephone_number": "918-786-9009",
            "fax_number": "405-951-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 13TH ST STE 101",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442976",
            "telephone_number": "918-786-9009",
            "fax_number": "405-951-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHRISTOPHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "134650",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0134650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.