Active NPI
Judy Rachele Hargis, APRN
- Family Nurse Practitioner
- Grove, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 212813
- Practice address
- 10 E 13TH St
Grove, OK 74344-5300 - Phone
- (918) 786-1909
- Fax
- (918) 787-3866
- NPI assigned
- Apr 5, 2023
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0102625 | OK | |
| Family Nurse Practitioner | 363LF0000X | 212813 | OK | Primary |
Addresses
Primary practice location
10 E 13TH St
Grove, OK 74344-5300
Mailing address
3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (918) 787-1909
Other practice location 1
21 W Central Ave
Miami, OK 74354-6815
Phone (918) 542-3900
Other practice location 2
216 S 7th St Ste 1
Vinita, OK 74301-3720
Phone (918) 256-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 S 7TH St
1 Integris Express Care Vinita
Vinita, OK 74301-3720
Phone (918) 256-1500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0102625 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Grove Hospital | Current | Accepting new patients | |
| Integris Miami Hospital | Current | Accepting new patients | |
| Integris Grove Hospital | Current | Accepting new patients | |
| Integris Miami Hospital | Current | Accepting new patients | |
| Integris Miami Hospital | Current | Accepting new patients | |
| Integris Rural Health Inc | Past | Accepting new patients |
Locations
10 E 13th St
Grove, OK 74344
Phone (918) 786-1909
21 W Central Ave
Miami, OK 74354
Phone (918) 540-7573
30 B St SW
Miami, OK 74354
Phone (918) 542-2273
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500
Interoperability endpoints
- jhargis16992@direct.integrisok.com
Organizations & group practices 6
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.
-
dba Integris Medical Group Grove
- Rural Health Clinic/Center
- Grove, OK
- NPI 1134720592
-
dba INTEGRIS Miami Physicians Clinic
- Rural Health Clinic/Center
- Miami, OK
- NPI 1912508375
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
dba INTEGRIS Health Medical Group Miami
- Rural Health Clinic/Center
- Miami, OK
- NPI 1386245744
-
dba INTEGRIS Express Care Miami
- Rural Health Clinic/Center
- Miami, OK
- NPI 1992305627
-
dba Integris Canadian Valley Family Care Clinic
- Family Medicine Physician
- Mustang, OK
- NPI 1962403030
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1801581004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 QUAIL SPRINGS PKWY FL 5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342640",
"telephone_number": "918-787-1909",
"fax_number": "918-787-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 13TH ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743445300",
"telephone_number": "918-786-1909",
"fax_number": "918-787-3866"
}
],
"practiceLocations": [
{
"address_1": "21 W Central Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "OK",
"postal_code": "743546815",
"country_code": "US",
"telephone_number": "918-542-3900",
"fax_number": "918-542-3928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "216 S 7th St Ste 1",
"address_purpose": "LOCATION",
"city": "Vinita",
"state": "OK",
"postal_code": "743013720",
"country_code": "US",
"telephone_number": "918-256-1500",
"fax_number": "918-323-0460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARGIS",
"first_name": "JUDY",
"middle_name": "RACHELE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-10-25",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0102625",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "212813",
"primary": true
}
],
"identifiers": [],
"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 Oct 25, 2023; 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.