DR. NICOLE L GRENIER (M.D.) – Dermatology Physician, NPI 1689899734

DR. NICOLE L GRENIER (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD13784 (RI). The NPI Number for DR. NICOLE L GRENIER (M.D.) is 1689899734

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE L GRENIER (M.D.)
NPI
1689899734
Phone
(401) 444-6779
Address
15 LA SALLE SQ
Enumeration Date
16 April 2007
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
5092839225
Group Practice PAC ID
7719147917
Professional Enrollment ID
I20160601001920
Address ID
MA025541703NA5XXXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

100 DERMATOLOGY in RI

Provider Addresses for DR. NICOLE L GRENIER (M.D.)

  • 15 LA SALLE SQ

    PROVIDENCE, RI 029031814

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • 65 Village Square Dr Ste 201

    South Kingstown, RI 028792569

    Phone: (401) 444-7959

    Fax: (401) 515-7910

    Type: Location

  • 3000 N UNIVERSITY DR

    SUITE K

    CORAL SPRINGS, FL 330655055

    Phone: (954) 755-2288

    Type: Mailing

  • 110 ELM ST FL 2

    PROVIDENCE, RI 029034626

    Phone: (401) 443-5122

    Fax: (401) 537-7241

    Type: Mailing

  • 400 BALD HILL RD

    WARWICK, RI 028861617

    Phone: (401) 444-7959

    Fax: (401) 738-3857

    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: 2016-06-01

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
I20120220000011IDermatologyRITBD
I20160601001920IDermatologyMATBD

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
17003Destruction of precancer skin growth, 2-14 growths859159$0
99213Established patient office or other outpatient visit, 20-29 minutes639513$0
17000Destruction of precancer skin growth, 1 growth308228$0
11102Biopsy of related skin growth, first growth198161$0
99214Established patient office or other outpatient visit, 30-39 minutes188153$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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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: 7719147917View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Plastic And Reconstructive SurgeryNJ
D E R M A T O L O G YRI
Dermatology, Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), DermatologyRI
Physician AssistantME
Physician AssistantMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NICOLE L GRENIER (M.D.)?
DR. NICOLE L GRENIER (M.D.) — NPI 1689899734 — is the standard way to identify this listing.
Does CMS list DR. NICOLE L GRENIER (M.D.) as active?
Yes — DR. NICOLE L GRENIER (M.D.) is active in the NPI listing used on this page.
What is DR. NICOLE L GRENIER (M.D.)'s primary classification?
Dermatology Physician is the headline specialty for DR. NICOLE L GRENIER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. NICOLE L GRENIER (M.D.) based?
DR. NICOLE L GRENIER (M.D.) is tied to Providence, Rhode Island in the data we show; additional addresses may exist on the full record.
Why does DR. NICOLE L GRENIER (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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