MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) – Pediatric Nurse Practitioner, NPI 1619233632

Pediatric Nurse Practitioner

MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) is a healthcare provider. based in Burnsville, Minnesota. specializing in Pediatric Nurse Practitioner. They hold the professional credentials C.P.N.P, RN,. They hold a License No. 20111783 (MN). The NPI Number for MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) is 1619233632

Main info

Female

Name

MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,)

NPI

1619233632

Phone

(651) 209-8640

Address

2530 HORIZON DR

Enumeration Date

3 April 2012

Last Update Date

25 October 2012

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience47

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,)

2530 HORIZON DR
BURNSVILLE, MN 553373091
Phone: (651) 209-8640
Fax: (651) 209-8690
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)

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: 2021-02-05

PECOS data refreshed: 2026-06-15

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20210205000456	I	Nurse Practitioner	MN	TBD

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 55337)

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Reviews

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Frequently asked questions

How is MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) identified in CMS data?

CMS-hosted NPPES data lists MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) with NPI 1619233632.

Does CMS list MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) as active?

Yes — MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) is active in the NPI listing used on this page.

What taxonomy line describes MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,)?

For research purposes, treat MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) as Pediatric Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

Does MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) list a practice location?

Patients near Burnsville, Minnesota may find MRS. CARRIE JEAN GRANBOIS (C.P.N.P, RN,) in results; validate coverage separately.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.