Individual provider Active NPI

Melissa Grubb

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1891465134
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11016118 Issued in FL
Practice address
9820 Hutchinson Park Dr
Jacksonville, FL 32225-7205
Phone
(904) 460-7270
NPI assigned
Sep 17, 2021
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 APRN11016118 FL Primary

Addresses

Primary practice location

9820 Hutchinson Park Dr
Jacksonville, FL 32225-7205

Mailing address

9820 Hutchinson Park Dr
Jacksonville, FL 32225-7205
Phone (904) 460-7270

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251011000098 FL Practitioner - Hospitalist 0840787131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3414 Hickory Hammock Rd
Jacksonville, FL 32226-2356

8825 Perimeter Park Blvd
Suite 403
Jacksonville, FL 32216-1108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Hospitals East, LLC CurrentSince Aug 29, 2025 Accepting new patients
Black Bag Medical Inc CurrentSince Aug 29, 2025 Accepting new patients

Locations

3840 Belfort Rd
Ste 102
Jacksonville, FL 32216
Phone (904) 371-4051

4320 Deerwood Lake Pkwy
Jacksonville, FL 32216
Phone (904) 620-0599

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1891465134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 HUTCHINSON PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257205",
            "telephone_number": "904-460-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 HUTCHINSON PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257205",
            "telephone_number": "904-460-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11016118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.