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GRACE EDOBOR
NPI 1659933869
Nurse Practitioner - Family in Tulsa, OK

Active since July 08, 2019PECOS Enrolled
7525 S TRENTON AVE, TULSA, OK 74136(918) 639-3148 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Edobor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE EDOBOR (NPI 1659933869) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (F04190249) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659933869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE EDOBOR
Location Address7525 S TRENTON AVETulsa, OK 74136-7306
Mailing Address7525 S Trenton AveTulsa, OK 74136-7306 · (918) 639-3148
Phone(918) 639-3148
Sole ProprietorNo
Enumeration DateJuly 8, 2019
✔ NPI 1659933869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · F04190249
7525 S TRENTON AVE, Tulsa, OK 74136
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Edobor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently 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 Grace Edobor's NPI number?

The NPI number for Grace Edobor is 1659933869. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Grace Edobor located?

Grace Edobor practices at 7525 S Trenton Ave, Tulsa, OK 74136. The listed phone number is (918) 639-3148.

What is Grace Edobor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Edobor enrolled in Medicare?

Yes. Grace Edobor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Edobor was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.