ALYSSA JANE GRUNDON
NPI 1154963809
Nurse Practitioner - Obstetrics & Gynecology in Kissimmee, FL

Active since October 15, 2019PECOS Enrolled
1001 E OSCEOLA PKWY STE 230, KISSIMMEE, FL 34744(407) 847-6166(407) 847-5112 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Dec 7, 2023, Jul 6, 2023 and 1 more (4 updates tracked since 2019).

About Alyssa Jane Grundon NPPES

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

ALYSSA JANE GRUNDON (NPI 1154963809) is an individual obstetrics & gynecology provider in Kissimmee, Florida, licensed in Florida (APRN11015726) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154963809
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameALYSSA JANE GRUNDON
Location Address1001 E OSCEOLA PKWY STE 230Kissimmee, FL 34744-1616
Mailing Address1001 E Osceola Pkwy Ste 230Kissimmee, FL 34744-1616 · (407) 847-6166 · Fax (407) 847-5112
Fax(407) 847-5112
Sole ProprietorYes
Enumeration DateOctober 15, 2019
Last NPPES UpdateJanuary 5, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1154963809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in FL · APRN11015726
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9408793 (FL)
1001 E OSCEOLA PKWY STE 230, Kissimmee, FL 34744

Secondary Practice Locations 2

Location 192 W Miller StOrlando, FL 32806-2032 · Phone (407) 649-9111
Location 2825 Clifton Hills StOrlando, FL 32828-6645 · Phone (850) 320-0037

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alyssa Jane Grundon 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 34744 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.

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology (Gynecology)
1001 E OSCEOLA PKWY STE 230
KISSIMMEE, FL 34744
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1001 E OSCEOLA PKWY STE 230
KISSIMMEE, FL 34744
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1001 E OSCEOLA PKWY STE 230
KISSIMMEE, FL 34744

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 Alyssa Grundon's NPI number?

The NPI number for Alyssa Grundon is 1154963809. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Alyssa Grundon located?

Alyssa Grundon practices at 1001 E Osceola Pkwy Ste 230, Kissimmee, FL 34744. The listed phone number is (407) 847-6166.

What is Alyssa Grundon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Alyssa Grundon enrolled in Medicare?

Yes. Alyssa Grundon is registered in the Medicare PECOS enrollment system.

What insurance does Alyssa Grundon accept?

Health plans from AvMed list Alyssa Grundon 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.

When was this NPI record last updated?

The NPPES record for Alyssa Grundon was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.