MARIENELLIE GRANDCHAMPS FNP
NPI 1295451029
Nurse Practitioner - Family in Bronx, NY

Q: What is Marienellie Grandchamps's NPI number?

The NPI number for Marienellie Grandchamps is 1295451029. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Q: What is Marienellie Grandchamps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 13, 2022PECOS EnrolledAccepts Medicare Assignment

2626 HALPERIN AVE, BRONX, NY 10461(718) 618-0401 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marienellie Grandchamps Fnp NPPES

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

MARIENELLIE GRANDCHAMPS FNP (NPI 1295451029) is an individual family provider in Bronx, New York, licensed in New York (F348575) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295451029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIENELLIE GRANDCHAMPSCredential: FNP

Location Address2626 HALPERIN AVEBronx, NY 10461-2631

Mailing Address13033 228th StLaurelton, NY 11413-1742 · (347) 636-7338

Phone(718) 618-0401

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 13, 2022

NPPES CertifiedOctober 13, 2022

✔ NPI 1295451029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F348575

2626 HALPERIN AVE, Bronx, NY 10461

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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 and accepts Medicare assignment

Marienellie Grandchamps Fnp 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 ID9335517952

PECOS Enrollment IDI20221201001285

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 10461 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 12

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

BRITNEY MELENDA MOODY

Social Worker (Clinical)