GRACE EVELYN COLLUPY (CNM) – Advanced Practice Midwife, NPI 1417140344

GRACE EVELYN COLLUPY (CNM) is a healthcare provider. based in Lake mary, Florida. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 9244471 (FL). The NPI Number for GRACE EVELYN COLLUPY (CNM) is 1417140344

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
GRACE EVELYN COLLUPY (CNM)
NPI
1417140344
Phone
(407) 262-5710
Address
719 RODEL CV
Enumeration Date
23 August 2007
Last Update Date
20 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046456767
Graduation Year
2000 (26 years ago)
PAC ID
4385728328
Group Practice PAC ID
2860411188
Professional Enrollment ID
I20101028000607
Address ID
FL322582558JA14810RDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

360 CERTIFIED NURSE MIDWIFE (CNM) in FL

Provider Addresses for GRACE EVELYN COLLUPY (CNM)

  • 719 RODEL CV

    LAKE MARY, FL 327465716

    Phone: (407) 262-5710

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Myriad Women's Health, Inc. ($48).

Total Amount

$120

General + Research + Ownership

Payments

5

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-28

PECOS data refreshed: 2026-05-27

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
I20101028000607ICertified Nurse Midwife (Cnm)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860411188View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to GRACE EVELYN COLLUPY (CNM)?
NPI 1417140344 is assigned to GRACE EVELYN COLLUPY (CNM) under the national enumeration system.
Is GRACE EVELYN COLLUPY (CNM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does GRACE EVELYN COLLUPY (CNM) work in?
You can think of GRACE EVELYN COLLUPY (CNM) as practicing within Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What location metadata exists for GRACE EVELYN COLLUPY (CNM)?
The page summarizes Lake Mary, Florida for GRACE EVELYN COLLUPY (CNM); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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