URGENT CARE OF GRAND LAKE PLLC
NPI 1154022689
Clinic/Center - Urgent Care in Grove, OK
About Urgent Care Of Grand Lake Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
URGENT CARE OF GRAND LAKE PLLC (NPI 1154022689) is a healthcare organization registered as an urgent care in Grove, Oklahoma and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Chad Alan Perkins, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Urgent Care Of Grand Lake Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Urgent Care Of Grand Lake PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2280529
Urgent Care Of Grand Lake · Grove, OKFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Urgent Care Of Grand Lake PLLC's NPI number?
The NPI number for Urgent Care Of Grand Lake PLLC is 1154022689. It was assigned to this organization in the NPPES registry on March 13, 2023.
Where is Urgent Care Of Grand Lake PLLC located?
Urgent Care Of Grand Lake PLLC is located at 900 S Main St, Grove, OK 74344. The listed phone number is (918) 232-6932.
What is Urgent Care Of Grand Lake PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Urgent Care Of Grand Lake PLLC enrolled in Medicare?
Yes. Urgent Care Of Grand Lake PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Urgent Care Of Grand Lake PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Urgent Care Of Grand Lake PLLC, in Emergency Medicine, Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Urgent Care Of Grand Lake PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2280529) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Urgent Care Of Grand Lake PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Urgent Care Of Grand Lake PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Urgent Care Of Grand Lake PLLC was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Urgent Care Of Grand Lake Pllc · NPI 1154022689
Urgent Care organization in Grove, Oklahoma. Organization record, active in the CMS NPPES registry since March 13, 2023.
## Identity
- **NPI:** 1154022689 (Entity type: Organization)
- **Enumerated:** March 13, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Chad Perkins, OWNER/CEO
## Practice location
- **Address:** 900 S MAIN ST, Grove, OK 74344-2844
- **Phone:** (918) 232-6932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Family Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154022689) · Data from the CMS NPPES public registry.