Individual provider Active NPI

Monica Gruber, APRN

  • Primary Care Nurse Practitioner
  • Largo, FL
National Provider Identifier
1437745189
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11009540 Issued in FL
Practice address
10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504
Phone
(727) 517-1500
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11009540 FL Primary

Addresses

Primary practice location

10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504

Mailing address

960 Starkey Rd Unit 6405
Largo, FL 33771-2482
Phone (216) 299-7226

Other identifiers 1

IdentifierTypeStateIssuer
APRN11009540OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230608001826 FL Practitioner - Nurse Practitioner 0446617351 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rad & More LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

10500 Ulmerton Rd
Ste 360
Largo, FL 33771
Phone (727) 517-1500

10900 Seminole Blvd
Largo, FL 33778
Phone (727) 517-1500

Organizations & group practices 1

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1437745189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 STARKEY RD UNIT 6405",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712482",
            "telephone_number": "216-299-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713504",
            "telephone_number": "727-517-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "MONICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11009540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "APRN11009540",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.