Individual provider Active NPI

Judy Rachele Hargis, APRN

  • Family Nurse Practitioner
  • Grove, OK
National Provider Identifier
1801581004
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212813 Issued in OK
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804003682 OK Practitioner - Nurse Practitioner 1759742836 Reassigns benefits to 2 organizations

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
Integris Grove HospitalGroup PAC ID 0042105835, 12 clinicians

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

LicenseStateTypeSpecialty
R0102625OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Grove Hospital CurrentSince Aug 14, 2023 Accepting new patients
Integris Miami Hospital CurrentSince Aug 14, 2023 Accepting new patients
Integris Grove Hospital CurrentSince Aug 14, 2023 Accepting new patients
Integris Miami Hospital Current Accepting new patients
Integris Miami Hospital CurrentSince Aug 14, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.