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DERRICK GRONDIN APRN
NPI 1033007653
Nurse Practitioner - Adult Health in Orlando, FL

Active since June 24, 2025PECOS EnrolledAccepts Medicare Assignment
1400 S ORANGE AVE # MP706, ORLANDO, FL 32806(321) 843-8010(321) 843-6330 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Jun 24, 2025 (2 updates tracked since 2025).

About Derrick Grondin Aprn NPPES

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

DERRICK GRONDIN APRN (NPI 1033007653) is an individual adult health provider in Orlando, Florida, licensed in Florida (APRN11034993) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033007653
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDERRICK GRONDINCredential: APRN
Location Address1400 S ORANGE AVE # MP706Orlando, FL 32806-2134
Mailing Address1703 S Summerlin AveOrlando, FL 32806-4018 · (906) 458-5641 · Fax (321) 843-6330
Phone(321) 843-8010
Fax(321) 843-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 24, 2025
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1033007653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11034993
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11034993 (FL)
1400 S ORANGE AVE # MP706, Orlando, FL 32806
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Derrick Grondin Aprn 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 ID5496263923
PECOS Enrollment IDI20250805002053
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.

Medicare Billing Reassignment

Medicare enrollment records show Derrick Grondin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Health Medical Group Inc
0.1 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Derrick Grondin's NPI number?

The NPI number for Derrick Grondin is 1033007653. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Derrick Grondin located?

Derrick Grondin practices at 1400 S Orange Ave # Mp706, Orlando, FL 32806. The listed phone number is (321) 843-8010.

What is Derrick Grondin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Derrick Grondin enrolled in Medicare?

Yes. Derrick Grondin 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 Derrick Grondin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Grondin reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). 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 Derrick Grondin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrick Grondin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 2 other insurers list Derrick Grondin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Derrick Grondin affiliated with any hospitals?

According to CMS data, Derrick Grondin is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Derrick Grondin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.