Individual provider Active NPI

Debra Lynn Grunden, NURSE

  • Nurse Practitioner
  • Terrell, TX
National Provider Identifier
1366766875
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
776939 Issued in TX
Practice address
200 N Virginia St
Terrell, TX 75160-2732
Phone
(972) 551-7500
Fax
(972) 524-7418
NPI assigned
Mar 26, 2010
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 776939 TX Primary

Addresses

Primary practice location

200 N Virginia St
Terrell, TX 75160-2732

Mailing address

200 N Virginia St
Terrell, TX 75160-2732
Phone (972) 551-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130311000448 TX Practitioner - Nurse Practitioner 1052566452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Service Agency, Inc.Group PAC ID 6305735150, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

2600 Commerce Way
Kaufman, TX 75142-7325
Phone (972) 750-3177

91 W Side SQ
Cooper, TX 75432-1725
Phone (903) 395-0586

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Service Agency, Inc. CurrentSince Dec 24, 2023 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Jan 3, 2026 Accepting new patients
Community Health Service Agency, Inc. Current Accepting new patients
Community Health Service Agency, Inc. CurrentSince Dec 24, 2023 Accepting new patients

Locations

91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586

4311 Wesley St
Greenville, TX 75401
Phone (903) 455-5958

2600 Commerce Way
Kaufman, TX 75142
Phone (972) 750-3177

Interoperability endpoints

  • Direct secure messaging: debra.grunden.p4@direct.chsa.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1366766875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VIRGINIA ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602732",
            "telephone_number": "972-551-7500",
            "fax_number": "972-524-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VIRGINIA ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602732",
            "telephone_number": "972-551-7500",
            "fax_number": "972-524-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDEN",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "776939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.