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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA-NICOLE M GROGAN PA-C
NPI 1881153138
Physician Assistant - Medical in Tinker Afb, OK

Active since March 17, 2019
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145(405) 734-2778 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2026, Mar 26, 2026, Dec 29, 2021 and 2 more (5 updates tracked since 2019).

About Jessica-nicole M Grogan Pa-c NPPES

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

JESSICA-NICOLE M GROGAN PA-C (NPI 1881153138) is an individual medical provider in Tinker Afb, Oklahoma and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1881153138
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA-NICOLE M GROGANCredential: PA-C
Location Address7050 AIR DEPOT BLVDTinker Afb, OK 73145-8716
Mailing Address7050 Air Depot BlvdTinker Afb, OK 73145-8716 · (405) 734-2778
Phone(405) 734-2778
Sole ProprietorNo
Enumeration DateMarch 17, 2019
Last NPPES UpdateOctober 30, 20265 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1881153138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
7050 AIR DEPOT BLVD, Tinker Afb, OK 73145
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Other Providers at the Same Location NPPES 20

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

PHILLIP JACOB TREXEL
Student in an Organized Health Care Education/Training Program
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (210) 292-5972
MRS. MEGAN ELIZABETH MOBLEY AU.D.
Audiologist
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (210) 292-5420
MRS. MEGHAN ELIZABETH WITTEN
Nurse Practitioner (Psychiatric/Mental Health)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 582-6603
DR. ELISA BRIANA GARCIA MARTINEZ MOFFITT DDS
Dentist
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-2778
JAMES NEAL DILLARD III PA-C
Physician Assistant
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 582-6252
ANGELA MARIE SCHETTER APRN
Nurse Practitioner (Family)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-2778
MS. ELIZABETH YUN BOWMAN IDC
Military Health Care Provider (Independent Duty Corpsman)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 582-6665
SHAYLEE JADE FOUTS MED, ATC, LAT, PES
Specialist/Technologist (Athletic Trainer)
7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
Oklahoma County (405) 734-9595

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 Jessica-nicole Grogan's NPI number?

The NPI number for Jessica-nicole Grogan is 1881153138. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Jessica-nicole Grogan located?

Jessica-nicole Grogan practices at 7050 Air Depot Blvd, Tinker Afb, OK 73145. The listed phone number is (405) 734-2778.

What is Jessica-nicole Grogan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jessica-nicole Grogan was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.