SIMRANJEET KAUR GREWAL
NPI 1255104659
Nurse Practitioner in Modesto, CA
About Simranjeet Kaur Grewal NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMRANJEET KAUR GREWAL (NPI 1255104659) is an individual nurse practitioner in Modesto, California, licensed in California (95024604) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
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
Simranjeet Kaur Grewal 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.
Medicare Billing Reassignment
Medicare enrollment records show Simranjeet Grewal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95219
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Simranjeet Grewal's NPI number?
The NPI number for Simranjeet Grewal is 1255104659. It was assigned to this individual provider in the NPPES registry on November 7, 2023.
Where is Simranjeet Grewal located?
Simranjeet Grewal practices at 801 17th St, Modesto, CA 95354. The listed phone number is (209) 251-0200.
What is Simranjeet Grewal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Simranjeet Grewal enrolled in Medicare?
Yes. Simranjeet Grewal 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 Simranjeet Grewal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simranjeet Grewal reassigns Medicare benefits to Av Corp Inc (Stockton, CA). 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 Simranjeet Grewal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Simranjeet Grewal was last updated on November 7, 2023. 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.
# Simranjeet Kaur Grewal · NPI 1255104659
Nurse Practitioner physician in Modesto, California. Individual provider, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1255104659 (Entity type: Individual)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95024604 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 17TH ST, Modesto, CA 95354-1243
- **Phone:** (209) 251-0200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Av Corp Inc (NPI 1376223024, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255104659) · Data from the CMS NPPES public registry.