GLENN M GRUSHKO PNP
NPI 1023995164
Nurse Practitioner - Pediatrics in Phoenix, AZ
About Glenn M Grushko Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN M GRUSHKO PNP (NPI 1023995164) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (TEMP329979) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Glenn M Grushko Pnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Glenn Grushko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 1,416 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85016
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 Glenn Grushko's NPI number?
The NPI number for Glenn Grushko is 1023995164. It was assigned to this individual provider in the NPPES registry on August 20, 2025.
Where is Glenn Grushko located?
Glenn Grushko practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0920.
What is Glenn Grushko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Glenn Grushko enrolled in Medicare?
Yes. Glenn Grushko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Glenn Grushko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Grushko reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Grushko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Glenn Grushko was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Glenn M Grushko, PNP · NPI 1023995164
Pediatrics physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since August 20, 2025.
## Identity
- **NPI:** 1023995164 (Entity type: Individual)
- **Enumerated:** August 20, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** TEMP329979 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 E THOMAS RD, Phoenix, AZ 85016-7710
- **Phone:** (602) 933-0920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoenix Children's Hospital (NPI 1922112044, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2025
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023995164) · Data from the CMS NPPES public registry.