Individual provider Active NPI

Carol Lynn Grieb, CRNP

  • Women's Health Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1902492820
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP022493 Issued in PA
Practice address
600 E Marshall St Ste 205
West Chester, PA 19380-4453
Phone
(610) 903-6200
Fax
(610) 903-6201
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X SP022493 PA Primary

Addresses

Primary practice location

600 E Marshall St Ste 205
West Chester, PA 19380-4453

Mailing address

600 E Marshall St Ste 205
West Chester, PA 19380-4453
Phone (610) 903-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210609002597 PA Practitioner - Nurse Practitioner 8921415126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 E Marshall St
205 OB/GYN West Chester
West Chester, PA 19380-4453
Phone (610) 903-6200

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Single Specialty CurrentSince Aug 2, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Aug 2, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Single Specialty Current Accepting new patients

Locations

600 E Marshall St
Ste 205
West Chester, PA 19380
Phone (610) 903-6200

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

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 3

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1902492820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST STE 205",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804453",
            "telephone_number": "610-903-6200",
            "fax_number": "610-903-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST STE 205",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804453",
            "telephone_number": "610-903-6200",
            "fax_number": "610-903-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEB",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP022493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.