SUSAN GRYZMALA
NPI 1023975075
Nurse Practitioner in Saint Louis, MO

Active since January 09, 2026PECOS Enrolled
6400 CLAYTON RD STE 216, SAINT LOUIS, MO 63117(314) 646-7848 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, Jan 9, 2026 (2 updates tracked since 2026).

About Susan Gryzmala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN GRYZMALA (NPI 1023975075) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2026001005) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carbondale, and is a graduate of Indiana University School Of Medicine (2025).

NPPES Registry Identity

NPI1023975075
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN GRYZMALA
Location Address6400 CLAYTON RD STE 216Saint Louis, MO 63117-1850
Mailing Address3453 S Illinois AveCarbondale, IL 62903-8363 · (618) 771-1108
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2025
Enumeration DateJanuary 9, 2026
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1023975075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2026001005
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2026001005 (MO)
6400 CLAYTON RD STE 216, Saint Louis, MO 63117

Secondary Practice Location 1

Location 13453 S Illinois AveCarbondale, IL 62903-8363 · Phone (618) 771-1108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Gryzmala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486138369
PECOS Enrollment IDI20260318003576
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
6400 CLAYTON RD STE 216
RICHMOND HEIGHTS, MO 63117
Internal Medicine (Gastroenterology)
6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117
Nurse Practitioner
6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117
Internal Medicine (Gastroenterology)
6400 CLAYTON RD STE 216
SAINT LOUIS, MO 63117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Gryzmala's NPI number?

The NPI number for Susan Gryzmala is 1023975075. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Susan Gryzmala located?

Susan Gryzmala practices at 6400 Clayton Rd Ste 216, Saint Louis, MO 63117. The listed phone number is (314) 646-7848.

What is Susan Gryzmala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Gryzmala enrolled in Medicare?

Yes. Susan Gryzmala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Gryzmala was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.