Harminder Grewal, ARNP
Individual provider Active NPI Nurse Practitioner · Wentzville, MO
NPI 1497954846 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1497954846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1999139469 (MO)
- Practice address
- 105 Creekside Office Dr
Wentzville, MO 63385-3289 - Phone
- (866) 825-3227
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tapestry Telehealth PLLC
Emerald Fern Wellness PC
Practice addresses (Care Compare)
111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145
1127 Timber Run Dr
Saint Louis, MO 63146-4482
Phone (203) 666-8145
3815 River Crossing Pkwy
Suite 100
Indianapolis, IN 46240-7766
Phone (203) 666-8145
424 Lewis Hargett Cir
FL 2
Lexington, KY 40503-3688
Phone (203) 666-8145
7280 NW 87TH Ter
Suite C 210
Kansas City, MO 64153-3720
Phone (203) 666-8145
9465 Counselors Row
Suite 200
Indianapolis, IN 46240-3817
Phone (203) 666-8145
99 Hawley LN
Suite 1102
Stratford, CT 06614-1204
Phone (203) 666-8145
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in MO, KY, CT, FL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060501000050 | MO | Practitioner - Nurse Practitioner | 4082624473 | Reassigns benefits to 4 organizations |
| I20250521002424 | KY | Practitioner - Nurse Practitioner | 4082624473 | Reassigns benefits to 2 organizations |
| I20250522001588 | CT | Practitioner - Nurse Practitioner | 4082624473 | Reassigns benefits to 1 organization |
| I20250523001042 | FL | Practitioner - Nurse Practitioner | 4082624473 | Reassigns benefits to 2 organizations |
| I20260313001001 | IN | Practitioner - Nurse Practitioner | 4082624473 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1999139469 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tapestry Telehealth PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Topaz Bay Senior Health PC | Current |
Accepting new patients | |
| Ria Medical, LLC | Current |
Accepting new patients | |
| Simran Behavioral Health | Past | Accepting new patients | |
| Midwest Innovation Laboratory LLC | Past |
Accepting new patients | |
| Kirpa LLC | Past | Accepting new patients |
Locations
99 Hawley Ln
Ste 1102
Stratford, CT 06614
2020 W Lake Parker Dr
Lakeland, FL 33805
Phone (813) 473-2170
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
424 Lewis Hargett Cir
#2
Lexington, KY 40503
424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485
260 S Mayo Trl
Pikeville, KY 41501
Phone (606) 437-7327
100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585
1415 W White Oak St
Independence, MO 64050
Phone (800) 982-2669
1 Cityplace Dr
Ste 570
Saint Louis, MO 63141
Phone (314) 514-6060
1127 Timber Run Dr
Saint Louis, MO 63146
Phone (314) 317-2003
1000 Warrenton Shoppes
Ste 31
Warrenton, MO 63383
Phone (636) 639-6262
105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262
65 Highway AA
Wright City, MO 63390
Phone (636) 456-3340
Interoperability endpoints
- https://api.platform.athenahealth.com/24426/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1999139469 | MO | Yes |
Addresses
Primary practice location
105 Creekside Office Dr
Wentzville, MO 63385-3289
Mailing address
161 Washington St
Eight Tower Bridge Suite 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1999139469 | Other | MO | LICENSE |
Other providers in Wentzville, MO
- Jennifer Marie Gray
- Michael Ryan Greaves
- Greene Health Chiropractic, LLC
- Elisa Marjorie Greene
- Gabrielle Michelle Greer
- Christopher Griebel
- Samantha Diane Grimm
- Marie Diana Guelker
- Valerie Michelle Hagedorn
- Heather N Hager
All providers in Wentzville, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.