GLENN M GRUSHKO PNP
NPI 1023995164
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: 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.

Q: What is Glenn Grushko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Grushko was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2025PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0920 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1023995164

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameGLENN M GRUSHKOCredential: PNP

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-0920 · Fax (602) 933-2492

Phone(602) 933-0920

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2025

Enumeration DateAugust 20, 2025

Last NPPES UpdateOctober 1, 2025

NPPES CertifiedOctober 1, 2025

✔ NPI 1023995164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · TEMP329979

1919 E THOMAS RD, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7315435252

PECOS Enrollment IDI20251022002479

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 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.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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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.

DR. TIMUR RAGHIB M.D.

Hospitalist