MIA CHARMIAN GRULER PA-C
NPI 1174449722
Physician Assistant in Kingston, PA

Q: What is Mia Gruler's NPI number?

The NPI number for Mia Gruler is 1174449722. It was assigned to this individual provider in the NPPES registry on June 27, 2026.

Q: What is Mia Gruler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mia Gruler was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 27, 2026PECOS Enrolled

390 PIERCE ST, KINGSTON, PA 18704(570) 288-3535 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Mia Charmian Gruler Pa-c NPPES

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

MIA CHARMIAN GRULER PA-C (NPI 1174449722) is an individual physician assistant in Kingston, Pennsylvania and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174449722

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIA CHARMIAN GRULERCredential: PA-C

Location Address390 PIERCE STKingston, PA 18704-5532

Mailing Address930 Meadow Ave Apt 104Scranton, PA 18505-2575 · (480) 563-4747

Phone(570) 288-3535

Sole ProprietorNo

Enumeration DateJune 27, 2026

NPPES CertifiedJune 27, 2026

✔ NPI 1174449722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

390 PIERCE ST, Kingston, PA 18704

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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 (PECOS)

Mia Charmian Gruler Pa-c 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 18704 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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 17

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

STEPHANIE GRENCAVAGE CRNP

Nurse Practitioner