Carlee Mae Grimes

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

512 N Franklin St FL 2
Jenks, OK 74037-2490

Phone

(918) 582-6800

Fax

(918) 582-6060

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bristow Endeavor Healthcare, LLC

  • Pain Medicine Physician
  • Jenks,, OK
  • NPI 1649779216
  NPD
• Orthopaedic Center, PC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1639115116
  NPD
• Orthopaedic Center, PC

  • Durable Medical Equipment & Medical Supplies
  • Bartlesville, OK
  • NPI 1639917032
  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1689348443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N FRANKLIN ST FL 2",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372490",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 E 61st St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361208",
            "country_code": "US",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "CARLEE",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Allyson Grant
• Greater Oklahoma Orthodontics PLLC
• Janna Greathouse, MS CCC SLP
• Kristian H Green
• Katie Jo Gregory
• Candie Gritzmacher
• Kenna Grogan
• Maureen Guerrero, MS
• Brandon Hadel, O.D.
• Jonathan T Hamilton, DO

• Physician Assistant in Jenks, OK
• Providers in Jenks, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.