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RITA JANE GIGLIO PMHNP-BC
NPI 1811504038
Nurse Practitioner - Psychiatric/Mental Health in Claremore, OK

Active since September 30, 2020PECOS EnrolledAccepts Medicare Assignment
98.13/100
CMS Quality Rating
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017(918) 608-0380 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2023, Nov 1, 2021, Sep 30, 2020 (3 updates tracked since 2020).

About Rita Jane Giglio Pmhnp-bc NPPES

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

RITA JANE GIGLIO PMHNP-BC (NPI 1811504038) is an individual psychiatric/mental health provider in Claremore, Oklahoma, licensed in Oklahoma (211306) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811504038
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRITA JANE GIGLIOCredential: PMHNP-BC
Location Address1402 N FLORENCE AVE STE BClaremore, OK 74017-3159
Mailing Address1402 N Florence Ave Ste BClaremore, OK 74017-3159 · (918) 608-0380 · Fax (417) 350-1935
Phone(918) 608-0380
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 30, 2020
Last NPPES UpdateSeptember 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1811504038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OK · 211306✔ Licensed in MO · 2020032738
1402 N FLORENCE AVE STE B, Claremore, OK 74017
Open in Google Maps ↗

Other Identifiers 4

Medicaid267690758AR
Medicaid201313840KS
Medicaid200949880AOK
Medicaid490098172MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rita Jane Giglio Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305258344
PECOS Enrollment IDI20201215002272, I20230313002194, I20231023000360
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Rita Giglio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Mental Health, LLC
Same address
Mental Health (Including Community Mental Health Center)
1402 N FLORENCE AVE STE B
Claremore, OK 74017
  • Reassigned Medicare billing, Oklahoma enrollment
  • 49 clinicians in this Medicare group
NPI 1053602649 (918) 608-0380
Ch Specialty Services Mo LLC
189 mi
Internal Medicine
400 SW LONGVIEW BLVD STE 200
Lees Summit, MO 64081
  • Reassigned Medicare billing, Missouri enrollment
  • 183 clinicians in this Medicare group
NPI 1194422253 (337) 408-0797
Curana Health Of Missouri-Kansas LLC
189 mi
Family Medicine
400 SW LONGVIEW BLVD STE 200
Lees Summit, MO 64081
  • Reassigned Medicare billing, Missouri enrollment
  • 218 clinicians in this Medicare group
NPI 1306165337 (337) 991-9276
Alliance Mental Health - Colorado LLC
590 mi
Mental Health
2601 S LEMAY AVE UNIT 3
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 18 clinicians in this Medicare group
NPI 1770247702 (303) 928-1051

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74017 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.1
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%45 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 33% · 39 patients
33%39 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIANCE MENTAL HEALTH, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
BALIE NEEL
Assistant Behavior Analyst
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
MAGGIE LEE BROWN
Counselor (Mental Health)
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
MRS. LAURIE WALTER LMSW
Social Worker
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
MR. CHARLES LYNN WILSON JR. MS
Counselor (Mental Health)
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
CHALI LYNN LOOPER
Social Worker (Clinical)
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
KELLY STEPHENS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380
DYLAN MOLENHOUR MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017
Rogers County (918) 608-0380

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 Rita Giglio's NPI number?

The NPI number for Rita Giglio is 1811504038. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Rita Giglio located?

Rita Giglio practices at 1402 N Florence Ave Ste B, Claremore, OK 74017. The listed phone number is (918) 608-0380.

What is Rita Giglio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rita Giglio enrolled in Medicare?

Yes. Rita Giglio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rita Giglio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rita Giglio reassigns Medicare benefits to 4 organizations: Alliance Mental Health, LLC (Claremore, OK), Ch Specialty Services Mo LLC (Lees Summit, MO), Curana Health Of Missouri-Kansas LLC (Lees Summit, MO) and Alliance Mental Health - Colorado LLC (Fort Collins, CO). Each 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 Rita Giglio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rita Giglio accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Rita Giglio 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 Rita Giglio was last updated on September 13, 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.