MARK RICHARD GRUIDL (NP) – Nurse Practitioner, NPI 1427045848

MARK RICHARD GRUIDL (NP) is a healthcare provider. based in Atascadero, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP8286 (CA). The NPI Number for MARK RICHARD GRUIDL (NP) is 1427045848

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK RICHARD GRUIDL (NP)
NPI
1427045848
Phone
(805) 748-8897
Address
PO BOX 2677
Enumeration Date
30 September 2005
Last Update Date
4 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8057488897
Graduation Year
1994 (32 years ago)
PAC ID
3971497140
Professional Enrollment ID
I20040210000859
Address ID
CA934301550CA278XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for MARK RICHARD GRUIDL (NP)

  • Atascadero Post Office, Traffic Way, Atascadero, San Luis Obispo County, California, 93422, United States

    ATASCADERO, CA 934232677

    Phone: (805) 748-8897

    Fax: (805) 434-0308

    Type: Mailing

  • 1020 FAVA CT

    TEMPLETON, CA 934653826

    Phone: (805) 748-8897

    Fax: (805) 434-0308

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040210000859INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,991325$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes806163$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes698167$0
99497Advance care planning, first 30 minutes373200$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes339142$0
View full utilization report →

Insurance plans in this area (ZIP 93423)

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Reviews

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Frequently asked questions

Does MARK RICHARD GRUIDL (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK RICHARD GRUIDL (NP) uses 1427045848.
Does the file indicate MARK RICHARD GRUIDL (NP) is practicing under active NPI?
Directory data currently reports MARK RICHARD GRUIDL (NP) as active.
What is MARK RICHARD GRUIDL (NP)'s specialty?
The listing groups MARK RICHARD GRUIDL (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MARK RICHARD GRUIDL (NP) serve?
MARK RICHARD GRUIDL (NP)'s listing highlights Atascadero, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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