Individual provider Active NPI

Grace K Mitchell, PA-C

  • Surgical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1285403394
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
6767 S Yale Ave Ste a
Tulsa, OK 74136-3302
Phone
(918) 492-7587
NPI assigned
Dec 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

6767 S Yale Ave Ste a
Tulsa, OK 74136-3302

Mailing address

6767 S Yale Ave Ste a
Tulsa, OK 74136-3302
Phone (918) 492-7587

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
I20240108004429 OK Practitioner - Physician Assistant 2961853528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Healthcare LLCGroup PAC ID 5395115174, 3 clinicians
Neurological Surgery IncGroup PAC ID 2860472818, 11 clinicians
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, shared by 35 NPIs, 212 clinicians

Practice addresses (Care Compare)

10119 E 80TH St
Suite B
Tulsa, OK 74133-3407
Phone (918) 994-6363

6767 S Yale Ave
Suite a
Tulsa, OK 74136-3302
Phone (918) 492-7587

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

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5169OKMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Health Care LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

10119 E 80th St
Ste B
Tulsa, OK 74133
Phone (918) 994-6363

5125 E 81st St
Ste 1
Tulsa, OK 74137
Phone (918) 994-6363

Organizations & group practices 2

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": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1285403394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363302",
            "telephone_number": "918-492-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363302",
            "telephone_number": "918-492-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GRACE",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.