Active NPI
Joseph James Gelinas, APRN-CNP
- Nurse Practitioner
- Grove, OK
National Provider Identifier
1396045753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 80573
- Practice address
- 601 S Broadway St
Grove, OK 74344-3429 - Phone
- (918) 786-0800
- Fax
- (918) 786-0876
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 80573 | OK | Primary |
Addresses
Primary practice location
601 S Broadway St
Grove, OK 74344-3429
Mailing address
62500 E 247 Loop
Grove, OK 74344-7435
Phone (918) 786-0800
Other practice location 1
26300 S Highway 125
Afton, OK 74331-6282
Phone (918) 257-8585
Other practice location 2
36488 S Highway 82
Vinita, OK 74301-7438
Phone (918) 788-3918
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200313460A | Medicaid | OK | |
| 200505990B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80573 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Baptist Regional Health Center | Past | Accepting new patients |
Interoperability endpoints
- jgelinas237442@direct.integrisok.com
Organizations & group practices 1
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.
-
dba Integris Baptist Regional Health Center ER Physician
- Emergency Care Clinic/Center
- Miami, OK
- NPI 1811952963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1396045753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62500 E 247 LOOP",
"city": "GROVE",
"state": "OK",
"postal_code": "743447435",
"telephone_number": "918-786-0800",
"fax_number": "918-786-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S BROADWAY ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743443429",
"telephone_number": "918-786-0800",
"fax_number": "918-786-0876"
}
],
"practiceLocations": [
{
"address_1": "26300 S Highway 125",
"address_purpose": "LOCATION",
"city": "Afton",
"state": "OK",
"postal_code": "743316282",
"country_code": "US",
"telephone_number": "918-257-8585",
"fax_number": "918-257-8560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36488 S Highway 82",
"address_purpose": "LOCATION",
"city": "Vinita",
"state": "OK",
"postal_code": "743017438",
"country_code": "US",
"telephone_number": "918-788-3918",
"fax_number": "918-788-3914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELINAS",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "80573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200313460A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200505990B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.