Individual provider Active NPI

Joseph Gregory, APRN

  • Nurse Practitioner
  • Grove, OK
National Provider Identifier
1891454062
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
207892 Issued in OK
Practice address
1001 E 18TH St
Grove, OK 74344-2907
Phone
(918) 822-2326
NPI assigned
Dec 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 207892 OK Primary

Addresses

Primary practice location

1001 E 18TH St
Grove, OK 74344-2907

Mailing address

1001 E 18TH St
Grove, OK 74344-2907
Phone (918) 822-2326

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
I20220706001459 OK Practitioner - Nurse Practitioner 2466832662 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Oklahoma PCGroup PAC ID 8123209012, 63 clinicians
Integris Grove HospitalGroup PAC ID 0042105835, 12 clinicians

Practice addresses (Care Compare)

1001 E 18TH St
Grove, OK 74344-2907
Phone (918) 786-2243

216 S 7TH St
1 Integris Express Care Vinita
Vinita, OK 74301-3720
Phone (918) 256-1500

Hospital & facility affiliations

  • Integris Grove Hospital Hospital, Grove, OK, CCN 370113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207892OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Miami Hospital CurrentSince Apr 22, 2024 Accepting new patients
Integris Grove Hospital Current Accepting new patients
Emergency Services of Oklahoma PC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
Integris Miami Hospital CurrentSince Apr 22, 2024 Accepting new patients
Integris Grove Hospital CurrentSince Apr 22, 2024 Accepting new patients
Integris Grove Hospital CurrentSince Apr 22, 2024 Accepting new patients
South Central Emergency Services PC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Integris Rural Health Inc Past Accepting new patients

Locations

10 E 13th St
Grove, OK 74344
Phone (918) 786-1909

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

21 W Central Ave
Miami, OK 74354
Phone (918) 540-7573

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500

Organizations & group practices 10

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.

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1891454062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442907",
            "telephone_number": "918-822-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442907",
            "telephone_number": "918-822-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "207892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.