Active NPI
Kristin C. Gruner, PA
- Medical Physician Assistant
- Clyde, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 103282
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Community Health Services Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Sisters of Mercy Urgent Care Inc | Current | Accepting new patients | |
| Sisters of Mercy Urgent Care Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Clyde, NC
- NPI 1407200264
NC
-
- Federally Qualified Health Center (FQHC)
- Sylva, NC
- NPI 1881130540
NC
-
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1225029051
NC
-
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1437593787
NC
-
- Federally Qualified Health Center (FQHC)
- Columbus, NC
- NPI 1750757803
NC
-
- Durable Medical Equipment & Medical Supplies
- Boone, NC
- NPI 1366336299
-
- Durable Medical Equipment & Medical Supplies
- Burnsville, NC
- NPI 1093294274
-
- Durable Medical Equipment & Medical Supplies
- Waynesville, NC
- NPI 1144868118
-
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
- NPI 1194204370
-
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
- NPI 1457602120
-
- Durable Medical Equipment & Medical Supplies
- Columbus, NC
- NPI 1578125860
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.