Jennifer Renee Grutzik, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2382-23 Issued in WI

Practice address

2908 Mall Rd
Florence, AL 35630-1641

Phone

(256) 767-2702

Fax

(256) 718-6047

NPI assigned

May 25, 2006

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Jennifer Renee Durham Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Plus IncGroup PAC ID 7911924931, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Med Plus, Inc

  dba Med Plus Florence

  • Family Medicine Physician
  • Florence, AL
  • NPI 1164408571
  Medicare reassignment Care Compare group
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894

  Physician Assistant

  Medicare reassignment NPD
• Athens-Limestone ER Physicians

  • Emergency Medicine Physician
  • Athens, AL
  • NPI 1528314119
  Medicare reassignment
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Union Grove, WI
  • NPI 1245440601
  NPD (past)
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1437105442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E SPRUCE ST STE 6",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059459",
            "telephone_number": "715-316-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301641",
            "telephone_number": "256-767-2702",
            "fax_number": "256-718-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 E Spruce St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Abbotsford",
            "state": "WI",
            "postal_code": "544059459",
            "country_code": "US",
            "telephone_number": "715-316-0799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUTZIK",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2382-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA.459",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107569",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2382-23",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DURHAM",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon G Griffitts, M.D.
• Haley Grigsby, SLP
• Holden Grimes, RN
• Dana Jean Grisham, R.N.
• Jamey Grisham
• Amna Gul
• Selena Michelle Gurley, CRNP
• Russell B Guyton, RPH
• Allison Haddock, CRNP
• Anthony Wade Haddock, CRNA

• Physician Assistant in Florence, AL
• Providers in Florence, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.