Individual provider Active NPI

Nicole Greiner

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1508240516
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
96502 Issued in OK
Practice address
4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120-8366
Phone
(405) 242-4030
NPI assigned
Jul 20, 2015
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 96502 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120-8366

Mailing address

4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120-8366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, FL2 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
I20150918000559 OK Practitioner - Nurse Practitioner 1052628310 Reassigns benefits to 1 organization
I20190211003165 FL Practitioner - Nurse Practitioner 1052628310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3250 Pga Blvd
Palm Beach Gardens, FL 33410-2850
Phone (561) 263-7045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96502OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Jul 23, 2018 Accepting new patients
True North Health Navigation LLC Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Jul 23, 2018 Accepting new patients
True North Health Navigation LLC CurrentSince Mar 1, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

Interoperability endpoints

  • Direct secure messaging: ngreiner27577@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1508240516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-242-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREINER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "96502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.