STACY MARIE GRONOWSKI – Family Nurse Practitioner, NPI 1205474517

STACY MARIE GRONOWSKI is a healthcare provider. based in Albion, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704271237NSA19105 (MI). The NPI Number for STACY MARIE GRONOWSKI is 1205474517

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STACY MARIE GRONOWSKI
NPI
1205474517
Phone
(517) 629-2134
Address
302 N MONROE ST STE A
Enumeration Date
17 December 2019
Last Update Date
11 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697814271
Graduation Year
2019 (7 years ago)
PAC ID
9931520004
Group Practice PAC ID
1254228745
Professional Enrollment ID
I20200527001651
Address ID
MI490681143MA200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for STACY MARIE GRONOWSKI

  • 302 N MONROE ST STE A

    ALBION, MI 492241765

    Phone: (517) 629-2134

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: Novo Nordisk Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$15
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: 2020-05-27

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
I20200527001651INurse PractitionerMITBD

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 minutes16490$0
99213Established patient office or other outpatient visit, 20-29 minutes9768$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
G0444Annual depression screening, 5 to 15 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 49224)

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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: 1254228745View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
G A S T R O E N T E R O L O G YMI
-MI
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm STACY MARIE GRONOWSKI's NPI?
Yes. STACY MARIE GRONOWSKI is listed with NPI 1205474517 in the public NPI dataset.
Can I rely on STACY MARIE GRONOWSKI being an active provider?
As of the registry snapshot, STACY MARIE GRONOWSKI is marked active.
What is STACY MARIE GRONOWSKI's primary classification?
Family Nurse Practitioner is the headline specialty for STACY MARIE GRONOWSKI here. Clinical services aligned with this taxonomy classification.
What address line appears for STACY MARIE GRONOWSKI?
STACY MARIE GRONOWSKI's geographic hint is Albion, Michigan in our summary view.
Why does STACY MARIE GRONOWSKI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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