GRAYSON ANDREW HOSTETLER
NPI 1962023895
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since May 01, 2020PECOS Enrolled
941 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-2331 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grayson Andrew Hostetler NPPES

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

GRAYSON ANDREW HOSTETLER (NPI 1962023895) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962023895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRAYSON ANDREW HOSTETLER
Location Address941 STANTON L YOUNG BLVDOklahoma City, OK 73104-5019
Mailing Address6425 N Libby AveOklahoma City, OK 73132-6808
Sole ProprietorNo
Enumeration DateMay 1, 2020
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
NPI 1962023895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
941 STANTON L YOUNG BLVD, Oklahoma City, OK 73104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grayson Andrew Hostetler 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.

Other Providers at the Same Location NPPES 5

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

Student in an Organized Health Care Education/Training Program
941 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Internal Medicine (Rheumatology)
941 STANTON L YOUNG BLVD, BSEB 306E
OKLAHOMA CITY, OK 73104
Clinic/Center (Multi-Specialty)
941 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Clinic/Center (Multi-Specialty)
941 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
941 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104

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 Grayson Hostetler's NPI number?

The NPI number for Grayson Hostetler is 1962023895. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Grayson Hostetler located?

Grayson Hostetler practices at 941 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-2331.

What is Grayson Hostetler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grayson Hostetler enrolled in Medicare?

Yes. Grayson Hostetler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grayson Hostetler was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.