Individual provider Active NPI

Kristin C. Gruner, PA

  • Medical Physician Assistant
  • Clyde, NC
National Provider Identifier
1649304577
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
103282 Issued in NC
Practice address
490 Hospital Dr
Clyde, NC 28721-8026
Phone
(828) 246-6372
Fax
(828) 246-6371
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 103282 NC Primary

Addresses

Primary practice location

490 Hospital Dr
Clyde, NC 28721-8026

Mailing address

165 Peaceful LN
Clyde, NC 28721-8717
Phone (828) 648-8676

Other practice location 1

34 Sims Circle
The Good Samaritan Clinic
Waynesville, NC 28786
Phone (828) 648-8676

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
I20031210000370 NC Practitioner - Physician Assistant 6507762556 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Mercy Urgent Care IncGroup PAC ID 5496709305, 46 clinicians

Practice addresses (Care Compare)

120 Frazier St
Suite 6
Waynesville, NC 28786-2806
Phone (828) 210-8333

1201 Patton Ave
Asheville, NC 28806-2707
Phone (828) 252-4878

61 Weaver Blvd
Suite 105
Weaverville, NC 28787-9804
Phone (828) 645-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services Inc Current Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Apr 1, 2025 Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Apr 1, 2025 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Jun 1, 2016 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Nov 19, 2016 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Jun 1, 2016 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Eastern Band of Cherokee Indians Past Accepting new patients

Locations

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

1201 Patton Ave
Asheville, NC 28806
Phone (828) 252-4878

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

490 Hospital Dr
Clyde, NC 28721
Phone (828) 213-9729

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

34 Sims Cir
Waynesville, NC 28786
Phone (828) 454-5287

Interoperability endpoints

  • Direct secure messaging: kristin.gruner.1@29997.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1649304577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PEACEFUL LN",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218717",
            "telephone_number": "828-648-8676",
            "fax_number": "828-648-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-246-6372",
            "fax_number": "828-246-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Sims Circle",
            "address_2": "The Good Samaritan Clinic",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "28786",
            "country_code": "US",
            "telephone_number": "828-648-8676",
            "fax_number": "828-454-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNER",
        "first_name": "KRISTIN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.