Carmen Cornelia Elisabeth Gruia, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11031206 Issued in FL

Practice address

3030 E Semoran Blvd Ste 264
Apopka, FL 32703-5953

Phone

(321) 280-3810

NPI assigned

Feb 12, 2019

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 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
• Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment Care Compare group NPD
• Alliance Physicians Inc

  • Genetic Counselor (M.S.)
  • Kettering, OH
  • NPI 1568855104
  NPD

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

• Beavercreek Medical Center

  • General Acute Care Hospital
  • Beavercreek, OH
  • NPI 1760764849
  Care Compare affiliation
• Dayton Osteopathic Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984
  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Miamisburg, OH
  • NPI 1316966518
  Care Compare affiliation

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1548726755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST STE 200",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871777",
            "telephone_number": "937-767-7291",
            "fax_number": "937-767-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E SEMORAN BLVD STE 264",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035953",
            "telephone_number": "321-280-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Xenia Ave",
            "address_purpose": "LOCATION",
            "city": "Yellow Springs",
            "state": "OH",
            "postal_code": "453871121",
            "country_code": "US",
            "telephone_number": "937-767-7291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Dayton St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yellow Springs",
            "state": "OH",
            "postal_code": "453871777",
            "country_code": "US",
            "telephone_number": "937-767-7291",
            "fax_number": "937-767-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUIA",
        "first_name": "CARMEN",
        "middle_name": "CORNELIA ELISABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.024213",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgruia588317@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "888 Dayton St Ste 200",
            "city": "Yellow Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453871777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "888 Dayton St Ste 200",
            "city": "Yellow Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453871777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Gresser
• Fredrick Griffin II
• Katherine Zjenaire Nicole Griffith-Williams
• Nichole Menique Griggs
• Jennifer Hayes Grimmett, CRNP
• Mark Christian Rosales Guce, RNFA
• Ashley Amanda Guerra, LCSW
• Sabine Guerrier
• Widna Guerrier, MSN, RN, ACNPC-AG
• Ryan T Guerrina, ARNP

• Family Nurse Practitioner in Apopka, FL
• Providers in Apopka, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.