Individual provider Active NPI

Michelle Grzybowski, CPNP

  • Pediatric Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1326643354
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN.0996062-NP Issued in CO
Practice address
9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone
(303) 694-3200
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN.0996062-NP CO Primary

Addresses

Primary practice location

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201

Mailing address

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone (303) 694-3200

Other practice location 1

16830 Northgate Dr Unit 150
Parker, CO 80134-5778
Phone (303) 805-7879

Other practice location 2

10901 W Toller Dr # 101
Littleton, CO 80127-6312
Phone (303) 973-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0996062-NPCOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
Greenwood Pediatrics PC PastSince Dec 5, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mgrzybowski197974@direct.childrenscolorado.org

Organizations & group practices 2

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1326643354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-694-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-694-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16830 Northgate Dr Unit 150",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345778",
            "country_code": "US",
            "telephone_number": "303-805-7879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10901 W Toller Dr # 101",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801276312",
            "country_code": "US",
            "telephone_number": "303-973-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZYBOWSKI",
        "first_name": "MICHELLE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0996062-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.