Organization Active NPI

Groves Enterprises PLLC

Doing business as YourCARE Yukon

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1467761882
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GROVES ENTERPRISES PLLC
Doing business as
YourCARE Yukon
Practice address
1029 E Vandament Ave
Yukon, OK 73099-4949
Phone
(405) 350-4300
Fax
(405) 350-4302
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Philicia Maria Groves, ARNPNPI 1942236690
Title
Owner
Phone
(405) 350-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OK
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X OK Primary

Addresses

Primary practice location

1029 E Vandament Ave
Yukon, OK 73099-4949

Mailing address

1029 E Vandament Ave
Yukon, OK 73099-4949
Phone (405) 350-4300

Other names 1

  • YourCARE Yukon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110627000258 OK Part B Supplier - Clinic/Group Practice 9638357429 Receives reassigned benefits from 6 practitioners
Practice locations: Yukon, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2016817Yourcare Yukon1029 E Vandament Ave, Yukon, OK 73099Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory

Locations

280 S Yukon Pkwy
Ste A
Yukon, OK 73099
Phone (405) 350-4300

1029 E Vandament Ave
Yukon, OK 73099
Phone (405) 350-4300

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1467761882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994949",
            "telephone_number": "405-350-4300",
            "fax_number": "405-350-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994949",
            "telephone_number": "405-350-4300",
            "fax_number": "405-350-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVES ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "PHILICIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-350-4300",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YourCARE Yukon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YourCARE Yukon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.