Marija Grgic, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018022115 Issued in MO

Practice address

2105 Sante Fe Cir
Arnold, MO 63010-5215

Phone

(314) 602-9242

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_mgrgic@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  MO

  Medicare reassignment NPD
• Tatyana Petrosova, MD PC

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1700026515

  MO

  Medicare reassignment NPD
• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  MO

  Medicare reassignment
• Olympic Rehab Wellness and Pain Center PC

  • Pain Medicine Physician
  • Saint Louis, MO
  • NPI 1669484119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1104303403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 SANTE FE CIR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630105215",
            "telephone_number": "314-602-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SANTE FE CIR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630105215",
            "telephone_number": "314-602-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGIC",
        "first_name": "MARIJA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018022115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Jane Gottlieb, M.A., P.T.A
• Molly Sue Grabill, OTD, OTR/L
• Ciera Green
• Christopher Greenwald
• Megan Alicia Gretzmacher
• Alicia Renee Grider
• Meredith Paige Groves
• Amy Haas
• Joe Hackett
• Heather L Haegele, F.N.P.

• All providers in Arnold, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.