Individual provider Active NPI

Melissa Rae Gilbert Grenier

  • Family Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1295513406
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001284750 Issued in VA
Practice address
6201 Leesburg Pike Ste 410
Falls Church, VA 22044-2201
Phone
(703) 532-5044
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0001284750 VA Primary

Addresses

Primary practice location

6201 Leesburg Pike Ste 410
Falls Church, VA 22044-2201

Mailing address

2606 Catskill St
Temple Hills, MD 20748-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20240405002439 DC Practitioner - Nurse Practitioner 8022456250 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001284750VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panamerican Internal Medicine, P.C. CurrentSince Apr 28, 2024 Accepting new patients
Familys Urgent Care CurrentSince Feb 26, 2024 Accepting new patients
Deardorff & Camacho PastSince Sep 24, 2023 Accepting new patients
Heritage Pediatrics, Inc. Past Accepting new patients

Locations

8011 New Hampshire Ave
Hyattsville, MD 20783
Phone (301) 519-9200

6835 Olney Laytonsville Rd
Laytonsville, MD 20882

6201 Leesburg Pike
Ste 410
Falls Church, VA 22044
Phone (703) 532-5044

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1295513406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CATSKILL ST",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 LEESBURG PIKE STE 410",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442201",
            "telephone_number": "703-532-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "MELISSA",
        "middle_name": "RAE GILBERT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001284750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.