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MRS. LORA LEE GRUTKOWSKI RN FNP-BC ACNS-BC
NPI 1134280464
Nurse Practitioner in Sebastopol, CA

Active since December 12, 2006PECOS Enrolled
5883 VINE HILL ROAD, SEBASTOPOL, CA 95472(707) 824-8200(707) 823-5800 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lora Lee Grutkowski Rn Fnp-bc Acns-bc NPPES

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

MRS. LORA LEE GRUTKOWSKI RN FNP-BC ACNS-BC (NPI 1134280464) is an individual nurse practitioner in Sebastopol, California, licensed in California (NP #18178) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134280464
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LORA LEE GRUTKOWSKICredential: RN FNP-BC ACNS-BC
Location Address5883 VINE HILL ROADSebastopol, CA 95472
Mailing Address5883 Vine Hill RoadSebastopol, CA 95472 · (707) 824-8200 · Fax (707) 823-5800
Phone(707) 824-8200
Fax(707) 823-5800
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1134280464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP #18178
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 ListedRegistered NurseTaxonomy 163W00000X · License RN #365475 (CA)
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN #365475 (CA)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License CNS #1381 (CA)
5883 VINE HILL ROAD, Sebastopol, CA 95472
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Other Identifiers 3

MedicaidCNS013810CA
Medicare UPINP71013
Medicare ID-Type UnspecifiedZZZ18629ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lora Lee Grutkowski Rn Fnp-bc Acns-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95472 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$88.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lora Grutkowski's NPI number?

The NPI number for Lora Grutkowski is 1134280464. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Lora Grutkowski located?

Lora Grutkowski practices at 5883 Vine Hill Road, Sebastopol, CA 95472. The listed phone number is (707) 824-8200.

What is Lora Grutkowski's specialty?

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

Is Lora Grutkowski enrolled in Medicare?

Yes. Lora Grutkowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lora Grutkowski was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.