Individual provider Active NPI

Philicia Maria Groves, ARNP

  • Family Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1942236690
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0062152 Issued in OK
Practice address
1029 E Vandament Ave
Yukon, OK 73099-4949
Phone
(405) 350-4300
Fax
(405) 350-4302
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 R0062152 OK Primary

Addresses

Primary practice location

1029 E Vandament Ave
Yukon, OK 73099-4949

Mailing address

1029 E Vandament Ave
Yukon, OK 73099-4949
Phone (405) 350-4300

Other identifiers 1

IdentifierTypeStateIssuer
R0062152OtherOKARNP LICENSURE

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
I20090528000631 OK Practitioner - Nurse Practitioner 4284783416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Groves Enterprises PLLCGroup PAC ID 9638357429, 2 clinicians

Practice addresses (Care Compare)

1029 E Vandament Ave
Yukon, OK 73099-4949
Phone (405) 350-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0062152OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Groves Enterprises PLLC Family CurrentSince Dec 1, 2010 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2400 Cornwell Dr
Yukon, OK 73099
Phone (405) 350-4300

280 S Yukon Pkwy
Ste A
Yukon, OK 73099
Phone (405) 350-4300

1029 E Vandament Ave
Yukon, OK 73099
Phone (405) 350-4300

Interoperability endpoints

  • Direct secure messaging: philicia.groves@yy.eclinicaldirectplus.com

Organizations & group practices 2

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1942236690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994949",
            "telephone_number": "405-350-4300",
            "fax_number": "405-350-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994949",
            "telephone_number": "405-350-4300",
            "fax_number": "405-350-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "PHILICIA",
        "middle_name": "MARIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0062152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSURE",
            "identifier": "R0062152",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.