OrganizationActive
Grand Lake Health Care, LLC
NPI 1619459708 · Nurse Practitioner · Grove, OK
Provider details
- NPI number
- 1619459708
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joseph Gelinas, Owner/Provider(918) 787-3491
- License
- 80573 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
601 S Broadway St
Grove, OK 74344-3429
Phone: (918) 801-6085
Street-level locationGet directions
Mailing address
62500 E 247 Loop
Grove, OK 74344-7435
Registry dates
- Enumerated
- 2018-09-05
- Last updated
- 2019-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.