SELINA SAMUELLE GRIPPO FNP-C
NPI 1396427761
Nurse Practitioner - Family in New York, NY

Active since August 03, 2023PECOS Enrolled
2633 BROADWAY, NEW YORK, NY 10025(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2025, Sep 19, 2024, Apr 11, 2024 and 1 more (4 updates tracked since 2023).

About Selina Samuelle Grippo Fnp-c NPPES

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

SELINA SAMUELLE GRIPPO FNP-C (NPI 1396427761) is an individual family provider in New York, New York, licensed in New York (873582) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396427761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSELINA SAMUELLE GRIPPOCredential: FNP-C
Location Address2633 BROADWAYNew York, NY 10025-5022
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791 · Fax (415) 520-0904
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 3, 2023
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1396427761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 873582
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 873582 (NY)
2633 BROADWAY, New York, NY 10025

Other Names 1

Former Name (1)Selina Samuelle Sta Ana

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Selina Samuelle Grippo Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547612269
PECOS Enrollment IDI20240118002238
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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.

Other Providers at the Same Location NPPES 7

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

Registered Nurse
2633 BROADWAY
NEW YORK, NY 10025
Family Medicine
2633 BROADWAY
NEW YORK, NY 10025
Family Medicine
2633 BROADWAY
NEW YORK, NY 10025
Internal Medicine
2633 BROADWAY
NEW YORK, NY 10025
Family Medicine
2633 BROADWAY
NEW YORK, NY 10025
Family Medicine
2633 BROADWAY
NEW YORK, NY 10025
Family Medicine
2633 BROADWAY
NEW YORK, NY 10025

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 Selina Samuelle Grippo's NPI number?

The NPI number for Selina Samuelle Grippo is 1396427761. It was assigned to this individual provider in the NPPES registry on August 3, 2023. The provider is also known as Selina Samuelle Sta Ana.

Where is Selina Samuelle Grippo located?

Selina Samuelle Grippo practices at 2633 Broadway, New York, NY 10025. The listed phone number is (888) 663-6331.

What is Selina Samuelle Grippo's specialty?

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

Is Selina Samuelle Grippo enrolled in Medicare?

Yes. Selina Samuelle Grippo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Selina Samuelle Grippo was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.