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EMILY GROHMAN CRNP
NPI 1285138024
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
109 W 27TH ST RM 5S, NEW YORK, NY 10001(833) 351-8255 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Sep 15, 2025, Mar 19, 2018 (3 updates tracked since 2018).

About Emily Grohman Crnp NPPES

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

EMILY GROHMAN CRNP (NPI 1285138024) is an individual psychiatric/mental health provider in New York, New York, licensed in Pennsylvania (SP018678) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285138024
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEMILY GROHMANCredential: CRNP
Location Address109 W 27TH ST RM 5SNew York, NY 10001-6208
Mailing Address109 W 27th St Rm 5sNew York, NY 10001-6208 · (833) 351-8255
Phone(833) 351-8255
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1285138024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in PA · SP018678✔ Licensed in ID · 70933✔ Licensed in CT · 10413
109 W 27TH ST RM 5S, New York, NY 10001
Open in Google Maps ↗

Secondary Practice Locations 13

Location 11107 Eaton AveBethlehem, PA 18018-1862 · Phone (484) 526-2400 · Fax (484) 526-3697
Location 2301 Cedar StOrofino, ID 83544-9029 · Phone (208) 476-5777 · Fax (208) 476-5385
Location 36500 University Ave Ste 200Des Moines, IA 50324-1663 · Phone (833) 351-8255
Location 4300 Baker Ave Ste 300Concord, MA 01742-2124 · Phone (833) 351-8255
Location 512020 Shamrock Plz Ste 200Omaha, NE 68154-3537 · Phone (833) 351-8255
Location 62003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-4000
Location 71000 Lafayette Blvd Ofc 110Bridgeport, CT 06604-4733 · Phone (833) 351-8255
Location 8540 Litchfield StTorrington, CT 06790-6679 · Phone (972) 449-0540
Location 9701 Lewiston StCottonwood, ID 83522-9750 · Phone (208) 962-3267
Location 10150 Riverside Pkwy Ste 115Fredericksburg, VA 22406-1094 · Phone (833) 351-8255
Location 11950 W Bannock St Ste 1100Boise, ID 83702-6140 · Phone (833) 351-8255
Location 12400 Union Ave SE Ste 200Olympia, WA 98501-2060 · Phone (833) 351-8255
Location 13900 Trail Ridge Rd Fl 1Aiken, SC 29803-7765 · Phone (833) 351-8255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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

Emily Grohman Crnp 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 ID547523433
PECOS Enrollment IDI20220416000142, I20241209001907, I20250203000392
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 Reassignments

5

Medicare enrollment records show Emily Grohman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
63 mi
Internal Medicine
125 SMITHFIELD LN
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1952662272 (272) 212-3872
Mercy Health System Corporation
763 mi
Critical Access
N2950 STATE ROAD 67
Lake Geneva, WI 53147
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1669685129 (Wisconsin)
  • 271 clinicians in this Medicare group
NPI 1699728550 (262) 245-0535
Mccd Fl Psychiatry Services PA
838 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, South Carolina enrollment
  • 37 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
Access Telecare, PLLC
1,374 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Iowa, Idaho, North Carolina, Nebraska, Pennsylvania, Texas and Washington enrollments
  • 157 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
St. Mary's Hospital Inc
2,121 mi
Family Medicine
518 OAK
Kamiah, ID 83536
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Marys Hospital Inc
  • 53 clinicians in this Medicare group
NPI 1568400562 (208) 935-2585

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 3

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.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
43 services41 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
32 services25 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. KENNETH ZON MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
MR. JOSEPH IRWIN FRIEDMAN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. SOPHIA ANNA MONSOUR DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
STEPHANIE NEGREY
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
AUSTIN BAILEY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255
ALEXANDER RICHARDSON MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. LAURENCE ERIC DOPKIN MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (888) 815-3583
DR. NICOLE ANGELA MASNADA D.O.
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
New York County (833) 351-8255

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 Emily Grohman's NPI number?

The NPI number for Emily Grohman is 1285138024. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Emily Grohman located?

Emily Grohman practices at 109 W 27th St Rm 5S, New York, NY 10001. The listed phone number is (833) 351-8255.

What is Emily Grohman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Emily Grohman enrolled in Medicare?

Yes. Emily Grohman 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 organizations bill Medicare for Emily Grohman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Grohman reassigns Medicare benefits to 5 organizations: St. Luke's Physician Group, Inc. (East Stroudsburg, PA), Mercy Health System Corporation (Lake Geneva, WI), Mccd Fl Psychiatry Services PA (Jacksonville, FL), Access Telecare, PLLC (Dallas, TX) and St. Mary's Hospital Inc (Kamiah, ID). Each 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 Emily Grohman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Grohman accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Moda Health Plan, Inc. and Oscar Health and 2 other insurers list Emily Grohman 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 Emily Grohman was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.