SAMMI JO GRIMES (APRN) – Nurse Practitioner, NPI 1194546531

SAMMI JO GRIMES (APRN) is a healthcare provider. based in Dewey, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 221009 (OK). The NPI Number for SAMMI JO GRIMES (APRN) is 1194546531

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMMI JO GRIMES (APRN)
NPI
1194546531
Phone
(918) 440-3326
Address
15161 N 3960 RD
Enumeration Date
18 October 2024
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183312294
Graduation Year
2024 (2 years ago)
PAC ID
1658801667
Group Practice PAC ID
2567366495
Professional Enrollment ID
I20250205004130
Address ID
OK740062411BA3550XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for SAMMI JO GRIMES (APRN)

  • 15161 N 3960 RD

    DEWEY, OK 740293409

    Phone: (918) 440-3326

    Type: Mailing

  • 3640 SE FRANK PHILLIPS BLVD

    BARTLESVILLE, OK 74006

    Phone: (918) 332-3600

    Type: Location

  • 3500 E Frank Phillips Blvd

    Bartlesville, OK 740062411

    Phone: (918) 333-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250205004130INurse PractitionerOKTBD
I20250623000366INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567366495View full group profile

Reviews

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Frequently asked questions

What is the registry number for SAMMI JO GRIMES (APRN)?
The registry entry for SAMMI JO GRIMES (APRN) shows NPI 1194546531.
Quick check: is SAMMI JO GRIMES (APRN) active?
Public NPPES data shows SAMMI JO GRIMES (APRN) with an active NPI status right now.
What services align with SAMMI JO GRIMES (APRN)'s listing?
SAMMI JO GRIMES (APRN)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMMI JO GRIMES (APRN) tied to Dewey, Oklahoma?
If you are local to Dewey, Oklahoma, SAMMI JO GRIMES (APRN) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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