SUSAN MARIE GRONDIN APNP NPI 1275253767

NPI Information

  • NPI: 1275253767
  • Provider Name: SUSAN MARIE GRONDIN, APNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 440 WOODWARD AVE
    IRON MOUNTAIN, MI
    ZIP 49801
  • Phone: (906) 776-9040

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NPI Details

Susan Marie Grondin, APNP is a family nurse practitioner in Iron Mountain, MI with 3 years of experience. Susan Marie Grondin, APNP NPI is 1275253767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 WOODWARD AVE
IRON MOUNTAIN, MI
ZIP 49801-631
Phone: (906) 776-9040
Fax: (906) 774-5950

The NPI 1275253767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 9/2/2022 and was last updated on 9/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704248641MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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