Individual provider Active NPI

Lynne Grehl, NP

  • Gerontology Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1952118044
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5021401 Issued in NC
Practice address
160 Mine Lake CT # 200
Raleigh, NC 27615-6417
Phone
(301) 221-8521
NPI assigned
Dec 12, 2024
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5021401 NC Primary
Registered Nurse 163W00000X 226696 NC

Addresses

Primary practice location

160 Mine Lake CT # 200
Raleigh, NC 27615-6417

Mailing address

1000 Dudley Park Loop Apt 104
Cary, NC 27513-2994
Phone (910) 988-7590

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319000672 NC Practitioner - Nurse Practitioner 8426570466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amputation Prevention Center of North Carolina LLCGroup PAC ID 4486083664, 18 clinicians

Practice addresses (Care Compare)

1000 Crescent GRN
Suite 102
Cary, NC 27518-8117
Phone (919) 897-5999

517 NC 210
Spring Lake, NC 28390-2709
Phone (919) 897-5999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226696NCMDRegistered Nurse
5021401NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rao Clinic PLLC CurrentSince Nov 1, 2025 Accepting new patients
Geriatric Consultants PLLC CurrentSince Jan 25, 2025 Accepting new patients
North Carolina Surgery Center LLC Past Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

1000 Crescent Green
Ste 102
Cary, NC 27518
Phone (919) 233-0410

1700 Kildaire Farm Rd
Ste 130
Cary, NC 27511

2153 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 321-7246

2080 W Arlington Blvd
Ste A
Greenville, NC 27834
Phone (252) 439-0065

4320 Fayetteville Rd
Ste A
Lumberton, NC 28358
Phone (910) 738-2330

517 NC 210 N
Spring Lake, NC 28390
Phone (910) 436-0777

581 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-8146

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, 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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1952118044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUDLEY PARK LOOP APT 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132994",
            "telephone_number": "910-988-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MINE LAKE CT # 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156417",
            "telephone_number": "301-221-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREHL",
        "first_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5021401",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "226696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.