MINDY CARDINA GRENADE – Psychiatric/Mental Health Nurse Practitioner, NPI 1265266506

MINDY CARDINA GRENADE is a healthcare provider. based in Morrisville, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP027447 (PA). The NPI Number for MINDY CARDINA GRENADE is 1265266506

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MINDY CARDINA GRENADE
NPI
1265266506
Phone
(917) 962-6111
Address
421 CLYMER AVE
Enumeration Date
29 August 2024
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102728221
Graduation Year
2022 (4 years ago)
PAC ID
5597206177
Group Practice PAC ID
5597271577
Professional Enrollment ID
I20240923003357
Address ID
PA194622324PL2901XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MINDY CARDINA GRENADE

  • 421 CLYMER AVE

    MORRISVILLE, PA 190672269

    Phone: (917) 962-6111

    Type: Mailing

  • 374 MOUNTAIN BLVD

    WERNERSVILLE, PA 195659219

    Phone: (570) 561-2990

    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: 2024-09-23

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
I20240923003357INurse PractitionerPATBD

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 19067)

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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: 5597271577View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Nurse PractitionerPA
Nurse PractitionerPA
Clinical PsychologistPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the standard ID for MINDY CARDINA GRENADE in the U.S.?
In the U.S., MINDY CARDINA GRENADE is identified by NPI 1265266506.
Quick check: is MINDY CARDINA GRENADE active?
Public NPPES data shows MINDY CARDINA GRENADE with an active NPI status right now.
What type of care does MINDY CARDINA GRENADE provide?
MINDY CARDINA GRENADE's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MINDY CARDINA GRENADE?
MINDY CARDINA GRENADE shows a connection to Morrisville, Pennsylvania in registry-derived data.
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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