JENNIFER ROSE GRANDE (FNP-BC) – Family Nurse Practitioner, NPI 1124536537

JENNIFER ROSE GRANDE (FNP-BC) is a healthcare provider. based in Springfield, Massachusetts. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-BC. They hold a License No. RN2299613 (MA). The NPI Number for JENNIFER ROSE GRANDE (FNP-BC) is 1124536537

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ROSE GRANDE (FNP-BC)
NPI
1124536537
Phone
(413) 304-2501
Address
819 WORCESTER ST
Enumeration Date
19 January 2018
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4136045201
Graduation Year
2017 (9 years ago)
PAC ID
8022370543
Group Practice PAC ID
4688967763
Professional Enrollment ID
I20180321002492

Contacts

Secure Messaging
jgrande53599@connecticutchildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

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Provider Addresses for JENNIFER ROSE GRANDE (FNP-BC)

  • 795;809;811;815;819, Worcester Street, Fiberloid, Springfield, Hampden County, Massachusetts, 01151, United States

    SPRINGFIELD, MA 011511045

    Phone: (413) 304-2501

    Type: Location

  • 282 WASHINGTON ST

    HARTFORD, CT 061063322

    Phone: (860) 545-9000

    Type: Location

  • 819 Worcester St

    Springfield, MA 011511045

    Phone: (413) 304-2501

    Type: Location

  • 88, Springfield Street, Wilbraham, Hampden County, Massachusetts, 01095, United States

    WILBRAHAM, MA 010952225

    Phone: (413) 519-6640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $706.

Total Amount is formed as General ($706) + Research ($0) + Ownership ($0) = $706.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: CSL Behring ($240).

Total Amount

$706

General + Research + Ownership

Payments

8

Total payment records

General Amount

$706

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2020-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180321002492INurse PractitionerMATBD
I20200305002553INurse PractitionerCTTBD

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 01151)

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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: 4688967763View full group profile
NameSpecialtyState
-MA
Nurse PractitionerMA
Family PracticeNY
Nurse PractitionerMA
Physician AssistantMA
Internal MedicineCT
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER ROSE GRANDE (FNP-BC) in U.S. healthcare records?
The official identifier for JENNIFER ROSE GRANDE (FNP-BC) is NPI 1124536537.
Is JENNIFER ROSE GRANDE (FNP-BC) shown as active in public data?
Registry records indicate JENNIFER ROSE GRANDE (FNP-BC) maintains an active NPI.
How would a patient describe JENNIFER ROSE GRANDE (FNP-BC)'s focus?
For JENNIFER ROSE GRANDE (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER ROSE GRANDE (FNP-BC)?
Directory geography for JENNIFER ROSE GRANDE (FNP-BC) centers on Springfield, Massachusetts.
When was this NPI issued?
Enumeration for JENNIFER ROSE GRANDE (FNP-BC) is noted as January 19, 2018 where the registry provides it.