Individual provider Active NPI

Arielle Jacquelyn Marion Granvold, FNP

  • Family Nurse Practitioner
  • Crossroads, TX
National Provider Identifier
1669179784
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1109840 Issued in TX
Practice address
11101 US Highway 380
Clinic #10138
Crossroads, TX 76227-8203
Phone
(940) 365-5762
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1109840 TX Primary

Addresses

Primary practice location

11101 US Highway 380
Clinic #10138
Crossroads, TX 76227-8203

Mailing address

11101 US Highway 380
Clinic #10138
Crossroads, TX 76227-8203
Phone (940) 365-5762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230322001132 TX Practitioner - Nurse Practitioner 7113391707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

11101 US Hwy 380
Crossroads, TX 76227-8203
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Mar 1, 2023 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Mar 1, 2023 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
CVS Pharmacy Inc PastSince Feb 12, 2023 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

11101 US Highway 380
Cross Roads, TX 76227
Phone (940) 365-5762

11101 US Highway 380
#10138
Cross Roads, TX 76227
Phone (940) 365-5762

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1669179784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 US HIGHWAY 380",
            "address_2": "CLINIC #10138",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762278203",
            "telephone_number": "940-365-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 US HIGHWAY 380",
            "address_2": "CLINIC #10138",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762278203",
            "telephone_number": "940-365-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANVOLD",
        "first_name": "ARIELLE",
        "middle_name": "JACQUELYN MARION",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1109840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossroads, TX

Sources for this page

Verify at the official NPI Registry.