Individual provider Active NPI

Joseph James Gelinas, APRN-CNP

  • Nurse Practitioner
  • Grove, OK
National Provider Identifier
1396045753
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
80573 Issued in OK
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

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200313460AMedicaidOK
200505990BMedicaidOK

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

LicenseStateTypeSpecialty
80573OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Baptist Regional Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.