Individual provider Active NPI

Sammi Jo Grimes, APRN

  • Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1194546531
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
221009 Issued in OK
Practice address
3640 SE Frank Phillips Blvd
Bartlesville, OK 74006
Phone
(918) 332-3600
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 221009 OK Primary
Primary Care Nurse Practitioner 363LP2300X F09240267 OK

Addresses

Primary practice location

3640 SE Frank Phillips Blvd
Bartlesville, OK 74006

Mailing address

15161 N 3960 Rd
Dewey, OK 74029-3409
Phone (918) 440-3326

Other practice location 1

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250205004130 OK Practitioner - Nurse Practitioner 1658801667 Reassigns benefits to 2 organizations
I20250623000366 KS Practitioner - Nurse Practitioner 1658801667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, shared by 35 NPIs, 212 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

3550 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 331-2294

7127 S Olympia Ave
Tulsa, OK 74132-1856
Phone (918) 665-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09240267OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Oct 30, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 30, 2025 Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

Organizations & group practices 3

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 2

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1194546531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15161 N 3960 RD",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740293409",
            "telephone_number": "918-440-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-332-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 E Frank Phillips Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740062411",
            "country_code": "US",
            "telephone_number": "918-333-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SAMMI",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "221009",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "F09240267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.