Individual provider Active NPI

Cheryl Lynn Grumbach, ARNP

  • Adult Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1831292770
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1429212 Issued in FL
Practice address
1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996-3329
Phone
(772) 286-9400
Fax
(772) 283-3832
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP1429212 FL Primary

Addresses

Primary practice location

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996-3329

Mailing address

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996-3329
Phone (772) 286-9400

Other identifiers 3

IdentifierTypeStateIssuer
Y7413OtherFLBCBS-FL
P01117824OtherFLRAILROAD MEDICARE
007269000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080520000183 FL Practitioner - Nurse Practitioner 0143399907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1429212FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Cardiology Group LLC CurrentSince Aug 2, 2015 Accepting new patients
Cardiac Vision LLC CurrentSince Jun 16, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 8, 2012 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 8, 2012 Accepting new patients

Locations

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

1658 St Vincents Way
Ste 300
Middleburg, FL 32068
Phone (904) 276-5100

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 2

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1831292770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400",
            "fax_number": "772-283-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400",
            "fax_number": "772-283-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBACH",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1429212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FL",
            "identifier": "Y7413",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01117824",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007269000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.