Individual provider Active NPI

Tina Grue, NP-C

  • Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1609315670
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009322 Issued in NC
Practice address
1640 Campus Park Dr Ste C
Monroe, NC 28112-5284
Phone
(704) 260-3662
Fax
(704) 226-9535
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 5009322 NC Primary

Addresses

Primary practice location

1640 Campus Park Dr Ste C
Monroe, NC 28112-5284

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (704) 971-7099

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgrue66446@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170714002321 NC Practitioner - Nurse Practitioner 4981974557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

1640 Campus Park Dr C
Monroe, NC 28112-5284
Phone (704) 226-0366

Hospital & facility affiliations

  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009322NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Nephrology Associates, PA CurrentSince Dec 30, 2019 Accepting new patients
Charlotte Radiology P a PastSince Dec 30, 2019 Accepting new patients

Locations

7903 Providence Rd
Ste 110
Charlotte, NC 28277
Phone (704) 248-5101

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

1640 Campus Park Dr
Ste C
Monroe, NC 28112
Phone (704) 226-0366

Interoperability endpoints

  • Direct secure messaging: tgrue66446@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1609315670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "704-971-7099",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CAMPUS PARK DR STE C",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125284",
            "telephone_number": "704-260-3662",
            "fax_number": "704-226-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUE",
        "first_name": "TINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgrue66446@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acument Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "1640 Campus Park Dr Ste C",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.