THERESE MONICA GRANDLIENARD – Family Nurse Practitioner, NPI 1568822716

THERESE MONICA GRANDLIENARD is a healthcare provider. based in Saint petersburg, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 9280102 (FL). The NPI Number for THERESE MONICA GRANDLIENARD is 1568822716

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
THERESE MONICA GRANDLIENARD
NPI
1568822716
Phone
Not provided
Address
4030 3RD AVE N
Enumeration Date
1 March 2016
Last Update Date
14 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275711688
Graduation Year
2015 (11 years ago)
PAC ID
0749617439
Group Practice PAC ID
6709041585
Professional Enrollment ID
I20200219000725
Address ID
FL337161902ST12450NXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for THERESE MONICA GRANDLIENARD

  • 4030, 3rd Avenue North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33713, United States

    SAINT PETERSBURG, FL 337137402

    Phone:

    Type: Mailing

  • 11200, Seminole Boulevard, Largo, Pinellas County, Florida, 33778, United States

    LARGO, FL 337783259

    Phone: (727) 258-4817

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,310.

Total Amount is formed as General ($2,310) + Research ($0) + Ownership ($0) = $2,310.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($489).

Total Amount

$2,310

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2020-02-19

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
I20200219000725INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes293146$0
99213Established patient office or other outpatient visit, 20-29 minutes12184$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8989$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1111$0
View full utilization report →

Insurance plans in this area (ZIP 33713)

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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: 6709041585View full group profile

Reviews

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Frequently asked questions

What is the registry number for THERESE MONICA GRANDLIENARD?
The registry entry for THERESE MONICA GRANDLIENARD shows NPI 1568822716.
Quick check: is THERESE MONICA GRANDLIENARD active?
Public NPPES data shows THERESE MONICA GRANDLIENARD with an active NPI status right now.
What services align with THERESE MONICA GRANDLIENARD's listing?
THERESE MONICA GRANDLIENARD's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to THERESE MONICA GRANDLIENARD?
The directory associates THERESE MONICA GRANDLIENARD with Saint Petersburg, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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