Individual provider Active NPI

Angela D. Grimmett, ARNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1861509838
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70265 Issued in OK
Practice address
11220 N Rockwell Ave
Oklahoma City, OK 73162-2725
Phone
(405) 632-6688
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 70265 OK Primary

Addresses

Primary practice location

11220 N Rockwell Ave
Oklahoma City, OK 73162-2725

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Other identifiers 1

IdentifierTypeStateIssuer
200129840AMedicaidOK

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
I20080428000685 OK Practitioner - Nurse Practitioner 9537247754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Practice addresses (Care Compare)

1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emergency Medical Center Inc CurrentSince Dec 29, 2024 Accepting new patients
Medical Resource Management, LLC CurrentSince Dec 29, 2024 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Apr 6, 2020 Accepting new patients
Revive Health of Oklahoma LLC PastSince Nov 6, 2017 Accepting new patients
Integrative Medical Solutions PLLC Past Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16305/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: angela.grimmettfnp.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: angela.grimmettfnp.p10@direct.nextcare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1861509838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622725",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "70265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200129840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.